Individual
ELIZABETH NICOLE DYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
3563 S STATE ROAD 13, WABASH, IN 46992-9162
(260) 563-8453
(260) 569-0335
Mailing address
3563 S STATE ROAD 13, WABASH, IN 46992-9162
(260) 563-8453
(260) 569-0335
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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