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Individual

CRUZ ENEIDA DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
2857 LINDEN BLVD, BROOKLYN, NY 11208-5126
(718) 235-3100
Mailing address
103 CIRCLE DR N, ELMONT, NY 11003-2101
(516) 437-1137

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
03/11/2013
Last updated
03/11/2013
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