JAIME DIETZEN

BENTONVILLE, AR
NPI1477833762
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: TX  60577)
Enumeration Date2011-08-18
Last Update Date2021-07-13
Business Address
MRS. JAIME DIETZEN LCSW
2003 SE WALTON BLVD
BENTONVILLE, AR 72712-3725
Phone number: 479-464-5925
Mailing Address
MRS. JAIME DIETZEN LCSW
2458 SISKIYOU ST
LEWISVILLE, TX 75056-6790
Phone number: 972-743-4416
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