Individual
KHADIJAH DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
14300 TANDEM BLVD APT 171, AUSTIN, TX 78728-6614
(919) 917-2585
Mailing address
14300 TANDEM BLVD APT 171, AUSTIN, TX 78728-6614
(919) 917-2585
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114688
TX
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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