Individual
MELISSA A DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1818 WENT AVE, MISHAWAKA, IN 46545-6482
(574) 254-0229
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99125987A
IN
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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