Individual
MRS. EVA FIALLOS-DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1820 E PARK AVE, SUITE 100, TALLAHASSEE, FL 32301-2873
(850) 297-2000
Mailing address
1820 E PARK AVE, SUITE 100, TALLAHASSEE, FL 32301-2873
(850) 297-2000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 12684
FL
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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