Individual
STEPHANIE AMBER DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
486 WORCESTER ST, SOUTHBRIDGE, MA 01550-1386
(508) 765-0292
Mailing address
380 WHITETAIL CIR, SOUTHBRIDGE, MA 01550-3204
(774) 420-9144
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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