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1013387299
MICHELLE LAUREN DIETRICH
COPIAGUE, NY
NPI
1013387299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 089967)
Enumeration Date
2015-10-01
Last Update Date
2022-12-16
Business Address
Ms. MICHELLE LAUREN DIETRICH LCSW
1375 AKRON ST
COPIAGUE, NY 11726-2931
Phone number: 631-552-4240
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Mailing Address
Ms. MICHELLE LAUREN DIETRICH LCSW
1 FARMINGDALE ROAD
WEST BABYLON, NY 11704
Phone number:
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