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Individual

ADA L DIAZ-GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
246 PARK ST, WEST SPRINGFIELD, MA 01089-3314
(413) 781-6556
Mailing address
246 PARK ST, WEST SPRINGFIELD, MA 01089-3314
(413) 781-6556

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5826333483
MA
Enumeration date
11/27/2018
Last updated
11/27/2018
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