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DIAMOND DAIS

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1730766775

Individual Registrant:
 DIAMOND  DAIS 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
467 W DOYLE ST  TOCCOA, GA 30577-1791 US
Tel: 706-886-4673  Fax: --

Contact information for business:
467 W DOYLE ST  TOCCOA, GA 30577-1791 US
Tel: 706-886-4673  Fax: --

Registration Information:
NPI: 1730766775
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
GA1357

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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