Individual
BETH SHARON DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
56 HOLLY DR, EAST NORTHPORT, NY 11731-5226
(631) 355-0546
Mailing address
56 HOLLY DR, EAST NORTHPORT, NY 11731-5226
(631) 355-0546
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
084218
NY
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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