Individual
LIADYS DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASW
Contact information
Practice address
4 SYCAMORE CT APT 102, WINTER SPRINGS, FL 32708
(787) 394-1051
Mailing address
4630 COMMANDER DR APT 1027, ORLANDO, FL 32822-3512
(787) 394-1051
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D262-521-93-681-0
DRIVER LICENSE
FL
Enumeration date
12/05/2016
Last updated
05/15/2018
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