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Individual

KRISTINE M DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
G3230 BEECHER RD, FLINT, MI 48532-3604
(810) 342-5620
(810) 342-5629
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014538
MI

Other

Enumeration date
11/03/2010
Last updated
11/03/2010
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