Individual
LORI DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.C.E., J.D.
Contact information
Practice address
207 PALM SPRINGS AVE, CHEYENNE, WY 82009-6105
(307) 637-2846
Mailing address
207 PALM SPRINGS AVE, CHEYENNE, WY 82009-6105
(307) 637-2846
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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