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Individual
MRS. TIA N DICKERSON
Active
Individual
MRS. TIA N DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMFT, LLPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451022116
MI
106H00000X
Marriage & Family Therapist
4151001014
MI
Other
Enumeration date
01/11/2021
Last updated
07/08/2024
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