Individual
SHERRY DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
30 STACY LANE RD, IRVINE, KY 40336-7356
(606) 723-0665
Mailing address
2503 HIGHMARKET ST, GEORGETOWN, SC 29440-2900
(843) 546-1730
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11915
SC
1041C0700X
Clinical Social Worker
Primary
257439
KY
Other
Enumeration date
12/10/2013
Last updated
05/03/2023
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