Individual
MONICA SUE DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33505 SCHOOLCRAFT RD, LIVONIA, MI 48150-1630
(844) 296-2673
Mailing address
33505 SCHOOLCRAFT RD, LIVONIA, MI 48150-1630
(844) 296-2673
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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