Individual
ASCENSION DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
512 S DATE AVE, BROKEN ARROW, OK 74012-5321
(918) 513-1337
Mailing address
512 S DATE AVE, BROKEN ARROW, OK 74012-5321
(918) 513-1337
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
About Stedi
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