Individual
THEODORE JOSEPH DICKENS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4009 HENICAN PL, METAIRIE, LA 70003-1309
(504) 610-7722
Mailing address
4009 HENICAN PL, METAIRIE, LA 70003-1309
(504) 610-7722
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
113780
TX
1041C0700X
Clinical Social Worker
Primary
4758
LA
Other
Enumeration date
09/26/2012
Last updated
09/17/2025
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