Individual
DANA DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 SOUTHPARK DR STE C, BLACKSBURG, VA 24060-6809
(855) 284-7483
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013921
VA
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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