Individual
DIETRA MONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2817 ROCK MERRITT AVENUE, FORT BRAGG, NC 28310-7301
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVENUE, FORT BRAGG, NC 28310-7301
(910) 907-8922
(910) 907-8707
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C0004559
NC
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/23/2006
Last updated
07/22/2025
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