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Contact Information

NICOLE E BUDDLE DIAZ, LCSW
2300 LAKEVIEW PKWY STE 700
ALPHARETTA, GA30009-9066
 Phone: 678-699-6208
 Fax: 678-916-3810
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for NICOLE E BUDDLE DIAZ · (Female)

NPI Number 1407158165
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 11/30/2010
Last updated 05/06/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # CAP 3256
  • FL License # SW6986
  • GA License # CSW004130
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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