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Estephany
Estephany
Diaz
Licensed clinical social worker
Tampa, United States
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Florida Health Care Practitioner Data Portal
Full name
Estephany Diaz
Job Title
Licensed Clinical Social Worker
Location
Tampa, FL, USA
LIC ID
19685
Current License Expiration Date
31/03/2025
Original Date
05/07/2018
Professional Rank Code
SW
Effective Date
05/07/2018
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
HILLSBOROUGH
Practice Location Address Line 1
4149 Rolling Springs Drive
Practice Location Address City
TAMPA
Practice Location Address State
FL
Practice Location Address Zipcode
33624
Mode Code
Qualified Supervisor CSW
Prescribing Indicator
N
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