Individual
MRS. CANDIDA ROSA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
289 SOMMERVILLE PL, YONKERS, NY 10703-2212
(914) 969-0186
Mailing address
289 SOMMERVILLE PL, YONKERS, NY 10703-2212
(914) 969-0186
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
R058985
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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