Individual
ADAM DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, MPH
Contact information
Practice address
6955 FOOTHILL BLVD, OAKLAND, CA 94605-2455
(510) 746-5531
Mailing address
510 17TH ST, OAKLAND, CA 94612-1553
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
61911
CA
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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