Individual
MILENA MICHELE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 INGRAM BLVD, WEST MEMPHIS, AR 72301-3423
(870) 208-8362
Mailing address
3609 OAKLAWN AVE, JONESBORO, AR 72404-9518
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12973-M
AR
Other
Enumeration date
02/06/2024
Last updated
08/12/2026
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