Individual
LAURA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2208 E 14TH ST, AUSTIN, TX 78702-1306
(512) 387-6822
Mailing address
141 ACADIA DR, KYLE, TX 78640-3341
(512) 387-6822
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
205079
TX
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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