Diana Luykx, ASW
Social Worker, Clinical in San Carlos, CA. Individual provider (NPI-1).
NPI number1962046409
StatusActive
Last updated in NPPESOct 31, 2019
Details
- NPI
- 1962046409
- Entity type
- Individual (NPI-1)
- Name
- Diana Luykx
- Credential
- ASW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2019
- Last updated
- Oct 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | ASW76764 | CA | Yes |
Practice location
957 Industrial Rd Ste BSan Carlos, CA 94070-4152
Phone 415-629-9582
Mailing address
957 Industrial Rd Ste BSan Carlos, CA 94070-4152
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