Individual
JONATHAN DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
29 S MAIN ST, NEW MILFORD, CT 06776-3507
(860) 354-1111
Mailing address
29 DIAMOND LN, NEW MILFORD, CT 06776-5231
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004385
CT
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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