Individual
DANNY DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
1021 QUARRIER ST STE 310, CHARLESTON, WV 25301-2338
(304) 513-3900
Mailing address
301 SWARTHMORE AVE # A, CHARLESTON, WV 25302-3215
(304) 415-6055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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