Diaz Varona, Marie A

Diaz Varona, Marie A is an sole proprietor health care provider with primary practice located at 9555 Upland Ln N , Maple Grove MN 55369-4485. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Diaz Varona, Marie A can be contacted via phone (952) 993-1440.

Contact Information

Primary practice address
9555 Upland Ln N Maple Grove MN 55369-4485
Phone: (952) 993-1440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP6508 Minnesota

Profile Details

NPI number 1720611148
LBN Legal business name Diaz Varona, Marie A
Credentials PSYD, LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2020
Last updated Nov 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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