Individual
AVA L DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8 PINE HILL RD, WOODBRIDGE, CT 06525-1813
(203) 671-4152
Mailing address
8 PINE HILL RD, WOODBRIDGE, CT 06525-1813
(203) 671-4152
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003461
CT
Other
Enumeration date
10/21/2008
Last updated
02/18/2010
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