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1124379169
CANDICE DIAZ
NEW YORK, NY
NPI
1124379169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY P85891)
Enumeration Date
2012-10-01
Last Update Date
2012-10-01
Business Address
-- CANDICE DIAZ MSW
1879 MADISON AVE
NEW YORK, NY 10035-2709
Phone number: 631-796-1880
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Mailing Address
-- CANDICE DIAZ MSW
340 E 93RD ST APT 8G
NEW YORK, NY 10128-5551
Phone number: 631-796-1880
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