Individual
DIAMANTE MAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 JEFFERSON AVE, WACO, TX 76701-1212
(254) 297-7000
(254) 756-3133
Mailing address
625 FAIR OAKS AVE, SOUTH PASADENA, CA 91030-2630
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
56954
TX
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
01/08/2008
Last updated
05/03/2018
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