Individual
KATIE DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42850 GARFIELD RD STE 103, CLINTON TOWNSHIP, MI 48038-5026
(586) 477-2054
Mailing address
525 OKEMOS ST, MASON, MI 48854-1224
(517) 833-8100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
02/04/2026
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