Individual
MS. BARBARA DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 W 57TH ST, SUITE 1422, NEW YORK, NY 10019-2211
(212) 399-4620
Mailing address
307 PRESIDENT ST, BROOKLYN, NY 11231-4905
(718) 243-9254
(718) 596-0592
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R046996
NY
Other
Enumeration date
12/30/2006
Last updated
07/08/2007
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