Individual
MRS. STEPHANIE N DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
444 N WESTHILL BLVD, APPLETON, WI 54914-5715
(920) 750-7000
(920) 364-2451
Mailing address
444 N WESTHILL BLVD, APPLETON, WI 54914-5715
(920) 750-7000
(920) 364-2451
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7996-123
WI
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/14/2010
Last updated
06/28/2018
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