Individual
DIAMOND SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 FAIRFIELD AVE FL 2180, BRIDGEPORT, CT 06604-4252
(203) 394-6529
Mailing address
180 FAIRFIELD AVE FL 2180, BRIDGEPORT, CT 06604-4252
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10283
CT
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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