Individual
MRS. ANDREA GUADALUPE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
19 GREENRIDGE AVE, WHITE PLAINS, NY 10605-1201
(914) 949-7680
Mailing address
689 LONG POND RD, MAHOPAC, NY 10541-3339
(914) 330-3690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106220
NY
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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