Individual
ERIN DEITZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
210 2ND ST, SUITE 5, SAINT MARYS, WV 26170-1097
(304) 684-2656
(304) 684-2658
Mailing address
210 2ND ST, SUITE 5, SAINT MARYS, WV 26170-1097
(304) 684-2656
(304) 684-2658
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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