Individual
MS. LISA KIM DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 BULL HILL RD, NORTH GROSVENORDALE, CT 06255-2004
(860) 212-1936
Mailing address
45 BULL HILL RD, NORTH GROSVENORDALE, CT 06255-2004
(860) 212-1936
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LSWA414220
MA
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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