Individual
MRS. BARBARA JANE DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12600E US HIGHWAY 40 101, INDEPENDENCE, MO 64055-5909
(816) 405-1341
(816) 753-7744
Mailing address
3100 BROADWAY BLVD 410, KANSAS CITY, MO 64111-2655
(816) 405-1341
(816) 753-7744
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000271
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496962101
—
MO
Enumeration date
12/27/2006
Last updated
09/15/2015
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