Individual
DONNA LEE DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 S OREGON STREET, SUITE A, YREKA, CA 96097
(530) 842-7917
Mailing address
PO BOX 513, 1225 WALTERS LANE, YREKA, CA 96097
(530) 598-2423
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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