Individual
GABRIELA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 BISHOP CT, MOREHEAD, KY 40351
(606) 784-2096
Mailing address
411 BISHOP CT, MOREHEAD, KY 40351-1009
(606) 784-2096
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
174842
KY
Other
Enumeration date
10/23/2015
Last updated
07/18/2018
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