STEPHANIE VON DER LIETH

ANTIOCH, CA
NPI1225390198
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2012-06-15
Last Update Date2023-05-17
Business Address
STEPHANIE VON DER LIETH
3727 SUNSET LN
ANTIOCH, CA 94509-6134
Phone number: 925-778-1667
Mailing Address
STEPHANIE VON DER LIETH
3727 SUNSET LN
ANTIOCH, CA 94509-6134
Phone number: 925-778-1667