Individual
MR. EFRAIN R DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
500 ALBANY AVE, HARTFORD, CT 06120-2508
(860) 246-9625
(860) 808-1545
Mailing address
500 ALBANY AVE, HARTFORD, CT 06120-2508
(860) 246-9625
(860) 808-1545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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