Individual
MS. ANNA MARIA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1510 FLORIDA AVE, MODESTO, CA 95350-4437
(209) 574-1365
(209) 574-1372
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 384-6493
(209) 383-1296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
63380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63380
LICENSE
CA
Enumeration date
10/25/2011
Last updated
01/24/2017
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