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Individual

ANGEL E ESCAMILLA-DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
861 CORPORATE DR, LEXINGTON, KY 40503-5432
(859) 971-2585
(859) 971-7594
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(419) 685-8010
(419) 695-0004

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
257613
KY
1041C0700X
Clinical Social Worker
Primary
257613
KY

Other

Enumeration date
03/06/2023
Last updated
03/06/2023
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