Individual
MRS. TRACI DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
824 W 1ST NORTH ST, MORRISTOWN, TN 37814-4524
(423) 587-9339
Mailing address
824 W 1ST NORTH ST, MORRISTOWN, TN 37814-4524
(423) 587-9339
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3060
TN
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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