Individual
JOHN ANDREW DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
609 SOUTH FAITH STREET, PLATTSBURG, MO 64477-1507
(816) 592-1591
Mailing address
PO BOX 187, PLATTSBURG, MO 64477-1507
(816) 592-1591
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2019038963
MO
1041C0700X
Clinical Social Worker
Primary
2023039684
MO
Other
Enumeration date
10/14/2019
Last updated
10/23/2024
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