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Individual

ANTHONEY DICKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2701 S CARAWAY RD, JONESBORO, AR 72401-7304
(870) 926-4263
Mailing address
PO BOX 665, PARAGOULD, AR 72451-0665
(870) 215-2508

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8870-C
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
177735795
AR
Enumeration date
07/21/2011
Last updated
02/10/2025
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