Kristen Ilona Dieter

NPI #1679359855 in Bangor, Pennsylvania

Provider Information

NPI Number: 1679359855
Entity Type: Individual
Name: Kristen Ilona Dieter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Sep 5, 2023
Last Updated: Sep 5, 2023

Practice Location

Address: 123 NAGYS HILL RD
City: Bangor
State: Pennsylvania
ZIP Code: 18013-9113
Phone: (610) 462-5620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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