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LAUREL DIETTERLE, LCSW
LCSW
Clinical Social Worker
NPI: 1932090602IndividualAccepts Medicare
Specialties, Licenses & Credentials
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
Social Worker
Social Worker
Code: 104100000X
112666(NY)
CMS Specialties
PrimaryCLINICAL SOCIAL WORKER
Education
OTHER
Class of 2020
Contact & Hours
Via practice · 2 locations total
- Address
- 3635 BELL BLVD STE 203
BAYSIDE, NY 11361 - Phone
- (718) 504-9256
Quick Facts
- NPI
- 1932090602
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 6
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