Individual
BETH JOY DIETERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 IL ROUTE 2, DIXON, IL 61021-9118
(815) 284-6611
(815) 284-2834
Mailing address
3713 WOODLAWN RD, STERLING, IL 61081-4216
(815) 441-1118
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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