Individual
ELIZABETH DEITRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 N 4TH ST, SUNBURY, PA 17801-1221
(570) 286-1757
Mailing address
1145 N 4TH ST, SUNBURY, PA 17801-1221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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