Individual
TAMARA J. DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
125 PRINCETON AVE, PROVIDENCE, RI 02907-1501
(401) 527-5037
Mailing address
125 PRINCETON AVE, PROVIDENCE, RI 02907-1501
(401) 527-5037
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01853
RI
Other
Enumeration date
10/25/2007
Last updated
06/02/2025
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