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1053034280
MICHAEL DIAZ
HOLBROOK, NY
NPI
1053034280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-09-22
Last Update Date
2022-09-22
Business Address
MICHAEL DIAZ
151 CENTER ST
HOLBROOK, NY 11741-3717
Phone number: 516-580-1940
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Mailing Address
MICHAEL DIAZ
151 CENTER ST
HOLBROOK, NY 11741-3717
Phone number: 516-580-1940
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