Dezerei G Diaz, LMSW

NPI #1700656451 in Madison, Alabama

Provider Information

NPI Number: 1700656451
Entity Type: Individual
Name: Dezerei G Diaz, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jan 4, 2024
Last Updated: Jan 4, 2024

Practice Location

Address: 120 W DUBLIN DR STE 202
City: Madison
State: Alabama
ZIP Code: 35758-3157
Phone: (256) 292-7826

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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