Tamala Sue Dietrich ACSW

NPI 1073896478 - Counselor - 101YM0800X

NPI Details
NPI 1073896478
Gender Female
Enumeration Date 09/21/2011
Last Updated 05/29/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
921 W AVENUE J
LANCASTER CA, 93534-3443, US
Phone (661) 949-0131
Fax
Business Location
921 W AVENUE J
LANCASTER CA, 93534-3443, US
Phone (661) 949-0131
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State California
License Number ASW 34984
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According to our database, Mrs. Tamala Sue Dietrich ACSW NPI is 1073896478, taxonomy code is 101YM0800X and license number is ASW 34984, license state is located at California. Tamala Sue Dietrich ACSW physically located at 921 W Avenue J, Lancaster CA, 93534-3443. NPI Number Tamala Sue Dietrich ACSW has the Individual type.

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1073896478 NPI number is provided on an as is basis without warranty of any kind. 1073896478 is maintained by the National Plan & Provider Enumeration System. The contents of Tamala Sue Dietrich ACSW are for informational purposes only.