Individual
FRED EDWARD DIAMOND III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2300 CHESTER BLVD, RICHMOND, IN 47374-1221
(765) 288-1928
(765) 741-0335
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
33007587A
IN
Other
Enumeration date
06/16/2011
Last updated
01/22/2020
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