Individual
MS. ALLISON LEIGH DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
144 W 12TH ST, #424, NEW YORK, NY 10011-8202
(212) 604-2521
(212) 604-2533
Mailing address
144 W 12TH ST, #424, NEW YORK, NY 10011-8202
(212) 604-2521
(212) 604-2533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
065481-1
NY
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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