Individual
DWALLA DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 N TRYON ST, CHARLOTTE, NC 28202-2222
(704) 336-3210
Mailing address
4004 TROON DR SW, CONCORD, NC 28027-0408
(704) 493-6983
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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