JODY DIANE DIETSCH

FORT WAYNE, IN
NPI1629324850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34004929A)
Enumeration Date2012-07-25
Last Update Date2021-09-13
Business Address
JODY DIANE DIETSCH LCSW
327 E WAYNE ST STE 100
FORT WAYNE, IN 46802-2700
Phone number: 260-786-5865
Mailing Address
JODY DIANE DIETSCH LCSW
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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