CLINT T. DIAZ

YUMA, AZ
NPI1265537948
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-10172)
Enumeration Date2006-09-14
Last Update Date2007-07-08
Business Address
MR. CLINT T. DIAZ LISAC
106 E 1ST ST
YUMA, AZ 85364-1450
Phone number: 928-341-9199
Mailing Address
MR. CLINT T. DIAZ LISAC
2199 W 12TH LN
YUMA, AZ 85364-4363
Phone number: 928-341-9199
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