Individual
ERIC LEWIS DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W., L.C.S.W.
Contact information
Practice address
7821 N FAIRCHILD RD, FOX POINT, WI 53217-3116
(406) 396-3028
Mailing address
7821 N FAIRCHILD RD, FOX POINT, WI 53217-3116
(406) 396-3028
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7817-123
WI
Other
Enumeration date
08/26/2012
Last updated
08/26/2012
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