Individual
ANGELA J DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
920 EXECUTIVE DR, MONTICELLO, IN 47960-1961
(574) 583-7997
Mailing address
920 EXECUTIVE DR, MONTICELLO, IN 47960-1961
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33006080A
IN
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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