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Individual

AMY DICKERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
15 BERKSHIRE RD, SANDY HOOK, CT 06482-1361
(203) 426-8103
(203) 270-4338
Mailing address
11 DEER RUN RD, WILTON, CT 06897-1204
(646) 319-1571

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3159
CT

Other

Enumeration date
04/18/2017
Last updated
04/18/2017
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