Individual
ANN MARIE DIETMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
16123 GRANT UTLEY AVE. NW, CASS LAKE, MN 56633
(218) 335-3050
Mailing address
7105 LITTLE WOLF RD NW, CASS LAKE, MN 56633-3024
(218) 760-1976
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30832
MN
Other
Enumeration date
09/11/2024
Last updated
09/12/2024
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