STEPHANIE DIAZ

GROVER BEACH, CA
NPI1679952303
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  D1408301054)
Enumeration Date2015-05-27
Last Update Date2015-05-27
Business Address
-- STEPHANIE DIAZ
1520 NICE AVE
GROVER BEACH, CA 93433-2831
Phone number: 805-944-4612
Mailing Address
-- STEPHANIE DIAZ
1520 NICE AVE
GROVER BEACH, CA 93433-2831
Phone number:
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