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Individual
MR. JOSEPH LEE DICKERSON JR.
Active
Individual
MR. JOSEPH LEE DICKERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. ED
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C022013000914
CT
101YP2500X
Professional Counselor
C022013000914
CT
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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