Individual
MRS. CLUNY R DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RCSWI
Contact information
Practice address
17501 SW 117TH AVE, MIAMI, FL 33177-2272
(305) 254-9759
Mailing address
7852 NW 164TH ST, MIAMI LAKES, FL 33016-8412
(954) 682-0255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW 4735
FL
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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