Individual
LIDIA ISABEL DIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
183 S ORANGE AVE, NEWARK, NJ 07103-2757
(973) 972-6100
Mailing address
183 S ORANGE AVE, NEWARK, NJ 07103-2757
(973) 972-6100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07067400
NJ
Other
Enumeration date
09/13/2019
Last updated
12/16/2024
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