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1558062505
ALYSSA DIETZ
PROSPER, TX
NPI
1558062505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
(Licence: TX 38102)
Enumeration Date
2023-03-16
Last Update Date
2023-03-16
Business Address
Dr. ALYSSA DIETZ PhD
307 E 1ST ST
PROSPER, TX 75078-2920
Phone number: 214-620-1405
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Mailing Address
Dr. ALYSSA DIETZ PhD
307 E 1ST ST
PROSPER, TX 75078-2920
Phone number: 214-620-1405
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