MRS. Courtney Alissa Dietrich, LMSW

NPI #1720308711 in Glen Oaks, New York

Provider Information

NPI Number: 1720308711
Entity Type: Individual
Name: MRS. Courtney Alissa Dietrich, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jun 2, 2010
Last Updated: Jun 2, 2010

Practice Location

Address: 255-03 75TH AVENUE
City: Glen Oaks
State: New York
ZIP Code: 11004
Phone: (516) 458-4086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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