Individual
KRISTEN M DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 E MAIN ST, LANSDALE, PA 19446-3143
(610) 644-6464
(215) 412-5348
Mailing address
680 AMERICAN AVE STE 302, KING OF PRUSSIA, PA 19406-4023
(610) 644-6464
(610) 981-6078
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/11/2017
Last updated
07/12/2017
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