Individual
CARRIE DIETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1256 WALKER AVE NW, GRAND RAPIDS, MI 49504-4067
(616) 451-2039
Mailing address
1256 WALKER AVE NW, GRAND RAPIDS, MI 49504-4067
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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