FRED EDWARD DIAMOND

RICHMOND, IN
NPI1912292087
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  33007587A)
Additional Taxonomies104100000X Social Worker
Enumeration Date2011-06-16
Last Update Date2020-01-22
Business Address
FRED EDWARD DIAMOND LCSW
2300 CHESTER BLVD
RICHMOND, IN 47374-1221
Phone number: 765-288-1928
Mailing Address
FRED EDWARD DIAMOND LCSW
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
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