Individual
AMANDA DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 S LIBERTY ST, ORWIGSBURG, PA 17961-2110
(570) 366-1154
Mailing address
39 STEDMAN AVE, LEHIGHTON, PA 18235-2610
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/07/2021
Last updated
03/07/2021
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