Individual
MRS. ADRIENNE KELLY DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., ED.
Contact information
Practice address
18564 US ROUTE 11, SUITE 5, WATERTOWN, NY 13601-5900
(315) 786-7202
Mailing address
7289 RICE RD, LOWVILLE, NY 13367-9600
(315) 376-4208
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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