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Contact Information

JOSEPHINE M DIAZ GREEN
3125 MYERS ST
RIVERSIDE, CA92503-5527
 Phone: 951-358-4840
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Other Service Providers

175T00000X
 

School

1041S0200X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JOSEPHINE M DIAZ GREEN · (Female)

NPI Number 1063877215
Status Active
Credentials
Entity Individual
Enumeration date 12/15/2015
Last updated 06/27/2024 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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