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Individual

DR. ASHA S DICKERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LPC, NCC, CPCS

Contact information

Practice address
10 CROSS CREEK DR, LILBURN, GA 30047-7054
(404) 904-9188
Mailing address
PO BOX 28551, ATLANTA, GA 30358-0551
(404) 904-9188

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC008339
GA

Other

Enumeration date
09/19/2018
Last updated
09/19/2018
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