Individual
AMELIA GRACE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3499 10TH ST, RIVERSIDE, CA 92501-3617
(951) 955-1560
Mailing address
3499 10TH ST, RIVERSIDE, CA 92501-3617
(951) 955-1560
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
ASW 36642
CA
1041C0700X
Clinical Social Worker
Primary
76655
CA
Other
Enumeration date
06/22/2012
Last updated
06/07/2024
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