Individual
GABRIELLE DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
92 LESHER RD, NEWBURG, PA 17240-9371
(717) 753-5343
Mailing address
92 LESHER RD, NEWBURG, PA 17240-9371
(717) 753-5343
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW137292
PA
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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