JENNIFER A DIETRICH

WAUKESHA, WI
NPI1326286147
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  13183-130)
Enumeration Date2009-02-02
Last Update Date2009-02-02
Business Address
-- JENNIFER A DIETRICH SAC-IT
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
Mailing Address
-- JENNIFER A DIETRICH SAC-IT
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
Phone number: 262-549-6600
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