Most Relevant Information
Provider Data
| NPI Number: | 1003210626 |
| Provider Name: | VANESSA DIAZ LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 6792 |
Most Important Dates
| Enumeration Date: | 10/09/2014 |
| Last Updated: | 02/08/2022 |
Provider Practice Location
18 W BLACKWELL ST
DOVER
NJ
078013841
Practice Location Phone/Fax
| Phone: | 9733283344 |
| Fax: | 9733286817 |
Provider Mailing Location
18 W BLACKWELL ST
DOVER
NJ
078013841
Provider Mailing Phone/Fax
| Phone: | 9733283344 |
| Fax: | 9733286817 |