Individual
AUDREY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6040 DEER AVE, EL PASO, TX 79924-3504
(805) 710-5310
Mailing address
6040 DEER AVE, EL PASO, TX 79924-3504
(805) 710-5310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C11384
MS
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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