Individual
KIMBERLY DANIELLE DIAMONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
418 OLD FORGE RD, CHAPIN, SC 29036-9753
(919) 805-2098
Mailing address
2729 CYPRESS ST, COLUMBIA, SC 29205-1626
(828) 455-9436
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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