Individual
ERNESTINE DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
516 S EAST AVE, FAYETTEVILLE, AR 72701-6048
(501) 313-1033
Mailing address
516 S EAST AVE, FAYETTEVILLE, AR 72701-6048
(352) 278-2501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9286-C
AR
Other
Enumeration date
09/09/2013
Last updated
07/13/2022
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