Individual
GUILLERMO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
8511 LOCH RAVEN BLVD, BALTIMORE, MD 21286-2302
(410) 497-5797
(410) 497-5797
Mailing address
8511 LOCH RAVEN BLVD, TOWSON, MD 21286-2302
(410) 497-5797
(410) 497-5840
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14415
MD
Other
Enumeration date
10/22/2009
Last updated
03/05/2022
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