Individual
MRS. KAITLIN DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
860 WYCKOFF AVE STE 206, MAHWAH, NJ 07430-3186
(551) 319-2029
Mailing address
529 E SADDLE RIVER RD, UPPER SADDLE RIVER, NJ 07458-1309
(201) 519-2531
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05812100
NJ
Other
Enumeration date
06/16/2020
Last updated
10/26/2021
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