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Individual

AUTUMN DIETZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LLBSW, DP-C

Contact information

Practice address
1009 WASHINGTON AVENUE, BAY CITY, MI 48708-5705
(989) 928-3566
Mailing address
641 STATE RD, VASSAR, MI 48768-9249
(989) 220-9525

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
08/09/2022
Last updated
03/18/2025
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