Individual
BRIANNA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2621 GENESEE ST, UTICA, NY 13501-6216
(315) 570-5058
Mailing address
15 JANE LACEY DR APT A, ENDICOTT, NY 13760-3721
(570) 933-4837
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112502
NY
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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