DOMINIQUE DIETZ - Social Worker License in Missouri | # 149021621

DOMINIQUE DIETZ

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149021621

License Status

ACTIVE

Business

N

First Name

DOMINIQUE

Last Name

DIETZ

Business Name

DOMINIQUE DIETZ

Original Issue Date

09/17/2019

Effective Date

09/11/2025

Expiration Date

11/30/2027

State

MO

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

09/11/2025