Theresa Mai Ditchfield, LCSW

NPI #1174572333 in Mattoon, Illinois

Provider Information

NPI Number: 1174572333
Entity Type: Individual
Name: Theresa Mai Ditchfield, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 8, 2006
Last Updated: Jan 12, 2011

Practice Location

Address: 717 N 21ST ST
City: Mattoon
State: Illinois
ZIP Code: 61938-2705
Phone: (910) 987-9296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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