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Individual

BRENNON KEITH DICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MHPP

Contact information

Practice address
613 N FISHER ST, JONESBORO, AR 72401-2152
(870) 910-3757
(870) 910-4999
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72405-7870
(870) 933-6886
(870) 933-9395

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28157-M
AR
171M00000X
Case Manager/Care Coordinator
AR
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
09/13/2010
Last updated
03/02/2026
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