Individual
LAUREN KIMBERLY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
156 W MAIN ST APT E10, AVON, CT 06001-3691
(860) 830-4469
Mailing address
156 W MAIN ST APT E10, AVON, CT 06001-3691
(860) 830-4469
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CT
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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