Individual
TAYLOR DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1125 E HAWAII AVE, NAMPA, ID 83686-6210
(208) 505-9990
Mailing address
PO BOX 261, HEBER CITY, UT 84032-0261
(208) 317-0437
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-39397
ID
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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