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Individual
ROBERT DIETRICH
Active
Individual
ROBERT DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008232-01
NY
101YP2500X
Professional Counselor
007240
CT
Other
Enumeration date
09/01/2016
Last updated
06/20/2024
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