MS. Jackie Dietz
MS. Jackie Dietz is a Clinical Social Worker in San Diego, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
3020 Childrens Way # MC5130San Diego, CA 92123-4223
Phone: (619) 533-3529
Fax: (619) 533-3558
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence LCS19311 (CA) |
|---|
Record details
| NPI number | 1871611780 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 27, 2007 |
| Last updated in NPPES | July 8, 2007 |
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