Individual
ALEXANDRIA MICHELLE DIAZ-SHOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
21 BYTE CT STE G, FREDERICK, MD 21702-8724
(301) 846-7872
(301) 846-7973
Mailing address
21 BYTE CT STE G, FREDERICK, MD 21702-8724
(301) 846-7872
(301) 846-7973
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30559
MD
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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