Diane Jo Dettloff

NPI #1245947670 in Mancos, Colorado

Provider Information

NPI Number
1245947670
Entity Type
Individual
Name
Diane Jo Dettloff
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Enumeration Date
Nov 4, 2022
Last Updated
Nov 4, 2022

Practice Location

Address
35815 ROAD P.5
City
Mancos
ZIP Code
81328-8798
Phone
(970) 570-9673

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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