Individual
MRS. DAWN DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2600 E 12TH ST, KANSAS CITY, MO 64127
(816) 965-1100
Mailing address
2600 E 12TH ST, KANSAS CITY, MO 64127-1321
(816) 965-1100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9586
KS
1041C0700X
Clinical Social Worker
Primary
2019007099
MO
Other
Enumeration date
06/17/2015
Last updated
03/12/2019
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