Individual
MISS DIANA LORRAINE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
740 CONISBURGH CT, STONE MOUNTAIN, GA 30087-4968
(678) 557-5873
(770) 413-4132
Mailing address
740 CONISBURGH CT, STONE MOUNTAIN, GA 30087-4968
(678) 557-5873
(770) 413-4132
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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