Individual
DR. TRACIE BULLOCK DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 QUINCY ST NE, WASHINGTON, DC 20017-2615
(202) 636-1685
Mailing address
1307 QUINCY ST NE, WASHINGTON, DC 20017-2615
(202) 636-1685
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06177
MD
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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