Individual
JILL L. DICKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-SUPV
Contact information
Practice address
3922 LOVERS LN, RAVENNA, OH 44266-4200
(330) 673-1347
(330) 678-3677
Mailing address
5982 RHODES RD, KENT, OH 44240-4128
(330) 673-1347
(330) 678-3677
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I.0000437
OH
1041C0700X
Clinical Social Worker
Primary
I.0000437-SUPV
OH
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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