Individual
NICHOLE ANN DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHS, CMS
Contact information
Practice address
111 S BROAD ST STE 209, LANCASTER, OH 43130-4383
(888) 522-9174
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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