Taylor Dietz, LMSW
Social Worker in Dallas, TX. Individual provider (NPI-1).
NPI number1669177366
StatusActive
Last updated in NPPESApr 3, 2023
Details
- NPI
- 1669177366
- Entity type
- Individual (NPI-1)
- Name
- Taylor Dietz
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2023
- Certification date
- Apr 2, 2023
- Last updated
- Apr 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 109178 | TX | Yes |
Practice location
1623 Briarcliff RdDallas, TX 75235-6105
Phone 216-215-5524
Mailing address
1623 Briarcliff RdDallas, TX 75235-6105
Phone 216-215-5524
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