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1235733510
DEREK DIETRICH
AUSTIN, TX
NPI
1235733510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 78855)
Enumeration Date
2020-11-26
Last Update Date
2020-11-26
Business Address
DEREK DIETRICH LPC
13625 POND SPRINGS RD STE 105
AUSTIN, TX 78729-4400
Phone number: 512-576-4150
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Mailing Address
DEREK DIETRICH LPC
13625 POND SPRINGS RD STE 105
AUSTIN, TX 78729-4400
Phone number: 512-576-4150
Copy
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