Individual
MRS. CAROL A DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
40 S CHURCH STREET, SUITE 105, WESTMINSTER, MD 21157-5414
(410) 848-9244
(410) 876-5042
Mailing address
40 S CHURCH STREET, SUITE 105, WESTMINSTER, MD 21157-5414
(410) 848-9244
(410) 876-5042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02708
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z16901100
—
MD
Enumeration date
07/17/2006
Last updated
07/02/2010
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