JACKIE DIETZ

SAN DIEGO, CA
NPI1871611780
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  LCS19311)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
MS. JACKIE DIETZ
3020 CHILDRENS WAY # MC5130
SAN DIEGO, CA 92123-4223
Phone number: 619-533-3529
Mailing Address
MS. JACKIE DIETZ
3020 CHILDRENS WAY # MC5130
SAN DIEGO, CA 92123-4223
Phone number: 619-533-3529
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