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1245664093
KRYSTAL DESIREE DIAZ
PASADENA, CA
NPI
1245664093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA ASW63826)
Enumeration Date
2013-08-29
Last Update Date
2016-10-05
Business Address
Ms. KRYSTAL DESIREE DIAZ
36 S KINNELOA AVE STE 100
PASADENA, CA 91107-3853
Phone number: 323-844-3033
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Mailing Address
Ms. KRYSTAL DESIREE DIAZ
4617 YELLOWSTONE ST
LOS ANGELES, CA 90032-3746
Phone number: 323-382-4856
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