Individual
TAYLOR LEE DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
61590968
WA
104100000X
Social Worker
Primary
SC70008714
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/02/2024
Last updated
07/10/2025
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