Individual
NERI RAFAEL DIAZ - ORELLANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 602-7577
(651) 222-1305
Mailing address
140 GEORGE ST E APT 204, SAINT PAUL, MN 55107-2970
(612) 239-6452
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20607
MN
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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