Individual
ALIZA DIAMOND STATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2309 WHITLEY RD, BALTIMORE, MD 21209-3853
(410) 952-2694
Mailing address
2309 WHITLEY RD, BALTIMORE, MD 21209-3853
(410) 952-2694
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP12681
MD
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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