Individual
TAYLOR DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1623 BRIARCLIFF RD, DALLAS, TX 75235-6105
(216) 215-5524
Mailing address
1623 BRIARCLIFF RD, DALLAS, TX 75235-6105
(216) 215-5524
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
109178
TX
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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