Ascension Diaz

NPI #1952728065 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1952728065
Entity Type: Individual
Name: Ascension Diaz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Mar 26, 2014
Last Updated: Mar 26, 2014

Practice Location

Address: 512 S DATE AVE
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012-5321
Phone: (918) 513-1337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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