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1821650987
KATHRYN DIETZWAY
LAFAYETTE, LA
NPI
1821650987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 13344)
Enumeration Date
2019-06-28
Last Update Date
2019-07-02
Business Address
KATHRYN DIETZWAY LCSW
345 DOUCET RD STE 217
LAFAYETTE, LA 70503-3488
Phone number: 337-202-5183
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Mailing Address
KATHRYN DIETZWAY LCSW
206 CORONA DR
LAFAYETTE, LA 70503-4604
Phone number: 318-787-7177
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