Individual
MARYLOU MORALES DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
131 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CG60658225
WA
Other
Enumeration date
07/09/2019
Last updated
08/08/2019
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