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1760051833
GENESIS DIAZ
OGDEN, UT
NPI
1760051833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: UT 12231686-3502)
Enumeration Date
2021-06-22
Last Update Date
2021-08-19
Business Address
GENESIS DIAZ CSW
653 25TH ST
OGDEN, UT 84401-2644
Phone number: 646-321-1346
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Mailing Address
GENESIS DIAZ CSW
3375 HARRISON BLVD
OGDEN, UT 84403-1228
Phone number: 646-321-1346
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