COURTNEY ALISSA DIETRICH

GLEN OAKS, NY
NPI1720308711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: NY  075814-1)
Enumeration Date2010-06-02
Last Update Date2010-06-02
Business Address
Mrs. COURTNEY ALISSA DIETRICH LMSW
255-03 75TH AVENUE
GLEN OAKS, NY 11004
Phone number: 516-458-4086
Mailing Address
Mrs. COURTNEY ALISSA DIETRICH LMSW
255-03 75TH AVENUE
GLEN OAKS, NY 11004
Phone number: 516-458-4086
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