MARCO ANTONIO DIAZ

GREENVILLE, SC
NPI1467799171
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-01-15
Last Update Date2013-01-15
Business Address
Mr. MARCO ANTONIO DIAZ
1400 CLEVELAND ST
GREENVILLE, SC 29607-2410
Phone number: 864-467-3790
Mailing Address
Mr. MARCO ANTONIO DIAZ
10 DORA ST
PELZER, SC 29669-1602
Phone number: 864-905-8291
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