Individual
LAMARA DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2653 LOCUST ST, SAINT LOUIS, MO 63103-1411
(314) 401-8976
Mailing address
2653 LOCUST ST, SAINT LOUIS, MO 63103-1411
(855) 751-8879
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018035873
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018035873
LCSW
MO
Enumeration date
12/10/2020
Last updated
03/15/2021
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