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Individual

DAVID DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
1500 NORWOOD DR, HURST, TX 76054-3651
(817) 282-3323
Mailing address
7209 SANDOVAL DR, FORT WORTH, TX 76131-2528
(847) 828-0860

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
69085
TX

Other

Enumeration date
02/21/2020
Last updated
02/21/2020
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