Individual
DENISE DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
704 HISTORIC 66 W STE 207, WAYNESVILLE, MO 65583-2136
(573) 433-4846
(573) 433-1208
Mailing address
1824 JADEN CT, LEBANON, MO 65536-4107
(417) 718-9065
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2015030972
MO
Other
Enumeration date
09/21/2015
Last updated
03/23/2016
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