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Individual

BRAD WILLIAM DIETRICH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LISW, I.2506324

Contact information

Practice address
799 S MAIN ST, LIMA, OH 45804-1519
(419) 229-2222
Mailing address
338 PONDEROSA LN, LIMA, OH 45805-3964
(419) 860-4470

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2506324
OH

Other

Enumeration date
06/07/2018
Last updated
04/04/2025
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