Individual
MICHELE J DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,M.S./CAS, LPES
Contact information
Practice address
5187 HORRY DR, MURRELLS INLET, SC 29576-5242
(716) 400-8707
Mailing address
27 CLAY DRIVE, PAWLEYS ISLAND, SC 29585-9998
(716) 400-8707
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4606
SC
Other
Enumeration date
07/02/2014
Last updated
01/04/2017
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