Individual
ELLI MARSHALL DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1129 BUSINESS PKWY S STE A, WESTMINSTER, MD 21157-3004
(667) 600-2850
Mailing address
1129 BUSINESS PKWY S STE A, WESTMINSTER, MD 21157-3004
(667) 600-2850
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22772
MD
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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