Individual
MS. MARY JO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1022 W 18TH ST, MERCED, CA 95340-4505
(209) 349-1530
Mailing address
1022 W 18TH ST, MERCED, CA 95340-4505
(209) 349-1530
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
01/27/2021
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