Individual
ALEX DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
28 WILLIAM ST, GOUVERNEUR, NY 13642-1405
(315) 287-2811
Mailing address
714 LERAY ST, WATERTOWN, NY 13601-1471
(315) 486-4328
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
098637-1
NY
104100000X
Social Worker
Primary
—
NY
Other
Enumeration date
10/24/2016
Last updated
05/13/2022
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