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Individual
BRITTANY N DIETRICH
Active
Individual
BRITTANY N DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
22005840A
IN
235Z00000X
Speech-Language Pathologist
Primary
46002385A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22005840A
SLP STATE LICENSE NUMBER
IN
Enumeration date
09/18/2012
Last updated
04/30/2021
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