Individual
JULIE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 E MAIN ST, WATERBURY, CT 06702-1701
(203) 755-1143
Mailing address
52 WELLS AVE, SHELTON, CT 06484-4029
(347) 634-0808
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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