Individual
MRS. FAITH MARCI DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBT
Contact information
Practice address
4301 S TACOMA WAY STE 505, TACOMA, WA 98409-4522
(253) 292-4354
Mailing address
9911 CRANBERRY LN NW APT 104, SILVERDALE, WA 98383-8071
(316) 208-6064
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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