Individual
TONY BRIAN DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
43836 STINE RD, REDWOOD, NY 13679-4154
(623) 755-1996
Mailing address
43836 STINE RD, REDWOOD, NY 13679-4154
(623) 755-1996
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001216-1
NY
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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