Individual
DIAMOND M WALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1339 ALBANY AVE, HARTFORD, CT 06112-2107
(860) 263-8021
Mailing address
24 PARK PL APT 3B, HARTFORD, CT 06106-5020
(860) 216-7488
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8744
CT
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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