Individual
EVELYN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
92 PROSPECT ST, WATERBURY, CT 06702-1327
(860) 856-3380
Mailing address
52 SPRING RD, WOLCOTT, CT 06716-1616
(860) 856-3380
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13576
CT
Other
Enumeration date
08/06/2013
Last updated
02/29/2024
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