Individual
MRS. CARMEN DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1967 TURNBULL AVE, SUITE 26, BRONX, NY 10473-2519
(718) 842-1400
(718) 792-2427
Mailing address
2527 GLEBE AVE, BRONX, NY 10461-3109
(718) 904-4400
(718) 931-7307
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R059315-1
NY
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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