Individual
MRS. CHRISTINA DIEDERICHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, CAADC
Contact information
Practice address
6548 TOWN CENTER DR, CLARKSTON, MI 48346-4823
(248) 453-7525
Mailing address
PO BOX 813, HOWELL, MI 48844-0813
(734) 771-7013
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801094402
MI
104100000X
Social Worker
—
—
Other
Enumeration date
09/06/2011
Last updated
06/23/2022
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