Individual
DIAMONE ENGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 MARION YOUNG CT, AIKEN, SC 29801-9534
(803) 646-2735
Mailing address
2121 VANDIVERE RD APT F4, AUGUSTA, GA 30904-5480
(803) 849-9196
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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