Individual
RACHELLE DIERESTIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
Mailing address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150111023
IL
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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