Individual
JEREMIAH LYNN DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 PRINCETON AVE, ALPENA, MI 49707-1233
(989) 884-4206
Mailing address
211 PRINCETON AVE, ALPENA, MI 49707-1233
(989) 884-4206
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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