Individual
ALICIA F DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 E CINCINNATI AVE, MUSKOGEE, OK 74403-5535
(918) 681-1113
(918) 681-1113
Mailing address
502 E CINCINNATI AVE, MUSKOGEE, OK 74403-5535
(918) 681-1113
(918) 681-1113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002574
MO
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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