Individual
ALEXIS NICOLE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LCSW
Contact information
Practice address
2441 31ST ST # 1038, ASTORIA, NY 11102-1140
(201) 948-4318
Mailing address
2441 31ST ST # 1038, ASTORIA, NY 11102-1140
(201) 948-4318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
097041
NY
Other
Enumeration date
06/26/2017
Last updated
05/09/2024
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