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Individual
MARICIA DITGEN
Active
Individual
MARICIA DITGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
MPSS-ALDZXS
CA
225400000X
Rehabilitation Practitioner
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M000000X
CMS
CA
Enumeration date
02/10/2020
Last updated
10/01/2025
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