Individual
MADISON DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 MORGAN CT, JOHNSON CITY, TN 37604
(901) 497-5958
(423) 247-6006
Mailing address
3 MORGAN CT, JOHNSON CITY, TN 37604
(901) 497-5958
(423) 247-6006
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-257174
TN
Other
Enumeration date
02/16/2023
Last updated
02/26/2025
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