IDALIA CENTENO-DIAZ

SPRINGFIELD, MA
NPI1225536519
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  125302)
Additional Taxonomies104100000X Social Worker
(Licence: PR  7597)
1041C0700X Social Worker, Clinical
(Licence: CT  12513)
Enumeration Date2018-02-01
Last Update Date2023-01-06
Business Address
IDALIA CENTENO-DIAZ LICSW
1695 MAIN ST FL 4
SPRINGFIELD, MA 01103-1348
Phone number: 413-787-5572
Mailing Address
IDALIA CENTENO-DIAZ LICSW
1695 MAIN ST FL 400
SPRINGFIELD, MA 01103-1063
Phone number: 413-739-5572