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Gina Diaz

Social Worker in Port Richey, FL. Individual provider (NPI-1).

NPI number1639615701
StatusActive
Last updated in NPPESJan 13, 2017

Details

NPI
1639615701
Entity type
Individual (NPI-1)
Name
Gina Diaz
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 13, 2017
Last updated
Jan 13, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

9550 Us Highway 19
Port Richey, FL 34668-4664

Phone 727-359-1540

Mailing address

9550 Us Highway 19
Port Richey, FL 34668-4664

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