Individual
ELENA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
131 W BROAD ST, ROCHESTER, NY 14614-1103
(585) 262-8000
Mailing address
146 SOUTH AVE, NEWARK, NY 14513-1939
(585) 943-2047
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
085598-1
NY
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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