STACEY DIETRICH

ENTERPRISE, FL
NPI1902240864
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-04-23
Last Update Date2013-04-23
Business Address
-- STACEY DIETRICH MA
51 CHILDRENS WAY
ENTERPRISE, FL 32725-8135
Phone number: 386-668-4774
Mailing Address
-- STACEY DIETRICH MA
51 CHILDRENS WAY
ENTERPRISE, FL 32725-8135
Phone number: 386-668-4774
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