DIETRA MONTALVO

FORT BRAGG, NC
NPI1043290273
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C0004559)
Enumeration Date2006-01-23
Last Update Date2016-03-21
Business Address
-- DIETRA MONTALVO LCSW
MCXC DPC MHO
FORT BRAGG, NC 28310-7301
Phone number: 910-555-5555
Mailing Address
-- DIETRA MONTALVO LCSW
MCXC DPC MHO
FORT BRAGG, NC 28310-7301
Phone number: 910-555-5555
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