Individual
MRS. CHARLOTTE LUISE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
83 MAIDEN LN FL 5, NEW YORK, NY 10038-4812
(212) 780-2500
Mailing address
277 E 207TH ST APT 3C, BRONX, NY 10467-4060
(646) 418-4710
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
063520
NY
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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