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1114744273
MICHA BIETZ
SAN DIEGO, CA
NPI
1114744273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 123571)
Enumeration Date
2024-09-20
Last Update Date
2024-09-20
Business Address
MICHA BIETZ
12396 WORLD TRADE DR STE 204
SAN DIEGO, CA 92128-3789
Phone number: 858-768-8737
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Mailing Address
MICHA BIETZ
9125 SOUTHERN RD
LA MESA, CA 91942-3609
Phone number: 619-987-0134
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