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Individual

DIANA LOPEZ ILARRAZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1329 SW COTTONWOOD CV, PORT ST LUCIE, FL 34986-2002
(347) 200-2532
Mailing address
1329 SW COTTONWOOD CV, PORT ST LUCIE, FL 34986-2002
(347) 200-2532

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108573

Other

Enumeration date
02/19/2020
Last updated
07/06/2026
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