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Individual
MRS. KIM EDWARDS DIXON
Active
Individual
MRS. KIM EDWARDS DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2529
NC
1041C0700X
Clinical Social Worker
Primary
C010109
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154764090
—
NC
Enumeration date
04/10/2013
Last updated
02/01/2023
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