Individual
COLTON DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1199 DELAWARE AVE, MARION, OH 43302-6475
(740) 736-2033
Mailing address
254 S HIGH ST, CALEDONIA, OH 43314-7723
(567) 240-2451
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
TY824496
OH
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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