Individual
DANA DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S RAISINVILLE RD, MONROE, MI 48161-9754
(734) 384-8708
Mailing address
1001 S RAISINVILLE RD, MONROE, MI 48161-9754
(734) 384-8708
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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