Individual
ODALYS DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7420 SW 48TH ST STE A, MIAMI, FL 33155-4415
(786) 333-9460
Mailing address
7420 SW 48TH ST STE A, MIAMI, FL 33155-4415
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CBHCMS101228
FL
Other
Enumeration date
03/16/2022
Last updated
06/08/2022
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