Carolyn Perry Diaz, LCSW

NPI #1205976263 in Sheridan, Wyoming

Provider Information

NPI Number: 1205976263
Entity Type: Individual
Name: Carolyn Perry Diaz, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Feb 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1898 FORT RD
Address 2: BUILDING 64
City: Sheridan
State: Wyoming
ZIP Code: 82801-8320
Phone: (307) 672-3473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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