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1013437565
ALEXIS NICOLE DIAZ
ASTORIA, NY
NPI
1013437565
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY 097041)
Enumeration Date
2017-06-26
Last Update Date
2024-05-09
Business Address
ALEXIS NICOLE DIAZ LCSW
2441 31ST ST # 1038
ASTORIA, NY 11102-1140
Phone number: 201-948-4318
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Mailing Address
ALEXIS NICOLE DIAZ LCSW
2441 31ST ST # 1038
ASTORIA, NY 11102-1140
Phone number: 201-948-4318
Copy
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