Individual
GABRIELLE DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC
Contact information
Practice address
6410 DOBBIN RD STE F, COLUMBIA, MD 21045-4774
(301) 246-0718
Mailing address
6410 DOBBIN RD STE F, COLUMBIA, MD 21045-4774
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
25316
MD
Other
Enumeration date
12/13/2019
Last updated
09/28/2023
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