Individual
STACEY DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
931 WILLIAMSBURY APT 333, WATERFORD, MI 48328-2265
(248) 254-2580
Mailing address
931 WILLIAMSBURY APT 333, WATERFORD, MI 48328-2265
(248) 254-2580
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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