Individual
MARLO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
12 HANCOCK CT, QUINCY, MA 02169-5210
(617) 847-1950
(617) 774-1490
Mailing address
12 HANCOCK CT, QUINCY, MA 02169-5210
(617) 847-1950
(617) 774-1490
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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