Individual
DIANA CATALINA AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
9876 MAIN ST STE 100, WOODSTOCK, GA 30188-3990
(770) 516-1050
Mailing address
2825 WINDY HILL RD SE, APT 4306, MARIETTA, GA 30067-6106
(919) 721-2418
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/12/2012
Last updated
11/12/2012
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