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1518432350
STEPHANIE DIETZ
FEDERAL WAY, WA
NPI
1518432350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC60852338)
Enumeration Date
2018-10-08
Last Update Date
2018-10-08
Business Address
STEPHANIE DIETZ
33507 9TH AVE S STE H2
FEDERAL WAY, WA 98003-6638
Phone number: 206-765-8765
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Mailing Address
STEPHANIE DIETZ
PO BOX 1269
MAPLE VALLEY, WA 98038-1269
Phone number: 206-765-8765
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