Montalvo, Dietra

Montalvo, Dietra is an sole proprietor health care provider with primary practice located at Mcxc Dpc Mho , Fort Bragg NC 28310-7301. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Montalvo, Dietra can be contacted via phone (910) 555-5555.

Contact Information

Primary practice address
Mcxc Dpc Mho Fort Bragg NC 28310-7301
Phone: (910) 555-5555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C0004559 North Carolina

Profile Details

NPI number 1043290273
LBN Legal business name Montalvo, Dietra
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2006
Last updated Mar 21st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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