SCOTT DAVID DIETRICH

ROSEBURG, OR
NPI1033456249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-01-08
Last Update Date2013-02-04
Business Address
-- SCOTT DAVID DIETRICH BSW
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-440-3532
Mailing Address
-- SCOTT DAVID DIETRICH BSW
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-440-3532