Individual
NEYCHA DIAZ SAN INOCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
224 JEFFREY RD, SPRINGFIELD, MA 01119-2700
(413) 459-8157
Mailing address
224 JEFFREY RD, SPRINGFIELD, MA 01119-2700
(413) 459-8157
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
224426
MA
Other
Enumeration date
02/09/2021
Last updated
02/06/2026
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