Individual
DANIELLE L DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSA, LSW
Contact information
Practice address
4115 BRIDGE AVE, CLEVELAND, OH 44113-3304
(216) 631-5800
Mailing address
4115 BRIDGE AVE, CLEVELAND, OH 44113-3304
(216) 631-5800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2107010
OH
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/08/2021
Last updated
10/26/2021
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