Sallie Dietrich, MS

NPI #1992036693 in Grove, Oklahoma

Provider Information

NPI Number: 1992036693
Entity Type: Individual
Name: Sallie Dietrich, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MS
Enumeration Date: Jan 19, 2010
Last Updated: Jan 19, 2010

Practice Location

Address: 905 E 3RD ST
City: Grove
State: Oklahoma
ZIP Code: 74344-7949
Phone: (918) 787-2104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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