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Individual

DIANA MICHAEL MATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LGSW

Contact information

Practice address
3560 WARDER ST NW, WASHINGTON, DC 20010-1700
(202) 528-4007
Mailing address
3560 WARDER ST NW, WASHINGTON, DC 20010-1700
(202) 528-4007

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
DC

Other

Enumeration date
10/31/2013
Last updated
10/31/2013
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