Individual
ELIZABETH RAE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1104 JEFFERSON AVE, SEGUIN, TX 78155-5910
(830) 379-9797
Mailing address
739 NORTHPARK RDG, NEW BRAUNFELS, TX 78130-8369
(830) 237-7943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61963
TX
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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