Individual
DIAMOND DAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
467 W DOYLE ST, TOCCOA, GA 30577-1791
(706) 886-4673
Mailing address
467 W DOYLE ST, TOCCOA, GA 30577-1791
(706) 886-4673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1357
GA
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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