Individual
ANA LYDIA TELLEZ DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 SE OAK ST STE C, HILLSBORO, OR 97123-4392
(971) 441-0460
Mailing address
2030 MAIN ST STE A, FOREST GROVE, OR 97116-3049
(971) 441-0460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
OR
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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