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Individual
NINA LYNN DICKERMAN
Active
Individual
NINA LYNN DICKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
LICSW1142712
MA
Other
Enumeration date
08/10/2022
Last updated
01/05/2026
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