MS. Jennifer L Malone-Dieter, AAC

NPI #1770218224 in Longview, Washington

Provider Information

NPI Number: 1770218224
Entity Type: Individual
Name: MS. Jennifer L Malone-Dieter, AAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: AAC
Enumeration Date: Jul 19, 2022
Last Updated: Jul 19, 2022

Practice Location

Address: 550 RAGLAND RD
City: Longview
State: Washington
ZIP Code: 98632-9124
Phone: (360) 747-4193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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