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Gabrielle Dietz, LCSWC

Social Worker in Columbia, MD. Individual provider (NPI-1).

NPI number1164060794
StatusActive
Last updated in NPPESSep 28, 2023

Details

NPI
1164060794
Entity type
Individual (NPI-1)
Name
Gabrielle Dietz
Credential
LCSWC
Sex
Female
Sole proprietor
No
Enumeration date
Dec 13, 2019
Certification date
Sep 14, 2023
Last updated
Sep 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes
1041C0700X Social Worker, Clinical25316MD

Practice location

6410 Dobbin Rd Ste F
Columbia, MD 21045-4774

Phone 301-246-0718

Mailing address

6410 Dobbin Rd Ste F
Columbia, MD 21045-4774

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