Individual
MRS. ASHLEY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6070 ROGERS LN, SAN BERNARDINO, CA 92404-3430
(323) 456-6822
Mailing address
6070 ROGERS LN, SAN BERNARDINO, CA 92404-3430
(323) 456-6822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW117897
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/30/2013
Last updated
10/16/2023
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