Individual
ALLISON DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
106 STARRET ST, LANCASTER, OH 43130-3993
(740) 687-0042
Mailing address
106 STARRET ST, LANCASTER, OH 43130-3993
(740) 687-0042
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
I.2203903
OH
1041C0700X
Clinical Social Worker
S.2004705
OH
Other
Enumeration date
06/28/2019
Last updated
09/22/2022
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