Individual
JOHN D DICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
HWY 1, REDLAKE, MN 56671-0497
(218) 679-3912
(218) 679-0181
Mailing address
11307 TOWERING PINES CT, BEMIDJI, MN 56601
(218) 679-3912
(218) 679-0181
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3283
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3283
LICSW
MN
Enumeration date
06/07/2007
Last updated
07/08/2007
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