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Organization
VIVIEN B DEITZ LCSW PA
Active
Organization
VIVIEN B DEITZ LCSW PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIEN B DEITZ LCSW PA (PRESIDENT)
(301) 770-1111
Entity
Organization
Contact information
Practice address
10726 BREWER HOUSE ROAD, NORTH BETHESDA, MD 20852-3420
(301) 770-1111
(301) 770-0260
Mailing address
10726 BREWER HOUSE ROAD, NORTH BETHESDA, MD 20852-3420
(301) 770-1111
(301) 770-0260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5221
MD
Other
Enumeration date
07/23/2006
Last updated
05/20/2008
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