Individual
MS. CYNTHIA A. DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW GSW
Contact information
Practice address
719 ELYSIAN FIELDS AVE, NEW ORLEANS, LA 70117-8511
(504) 942-8101
(504) 942-8242
Mailing address
16 DELOAKS DR, MADISONVILLE, LA 70447-9788
(985) 792-1645
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5180
LA
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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