Individual
MARILYN A DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 421, PAYETTE, ID 83661-0421
(208) 809-8226
Mailing address
PO BOX 62, NEW PLYMOUTH, ID 83655-0062
(208) 809-8226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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