Most Relevant Information
Provider Data
| NPI Number: | 1003658485 |
| Provider Name: | VICTORIA ROSE DIETZ APSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 134900-121 |
Most Important Dates
| Enumeration Date: | 06/07/2024 |
| Last Updated: | 06/07/2024 |
Provider Practice Location
133 S BUTLER ST STE 106
MADISON
WI
537035606
Practice Location Phone/Fax
| Phone: | 6082181440 |
| Fax: |
Provider Mailing Location
133 S BUTLER ST STE 106
MADISON
WI
537035606
Provider Mailing Phone/Fax
| Phone: | 6082181440 |
| Fax: |