Individual
DESI DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 330-3654
Mailing address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 330-3654
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904013993
VA
1041C0700X
Clinical Social Worker
107602
TX
1041C0700X
Clinical Social Worker
Primary
SW19277
FL
Other
Enumeration date
07/30/2022
Last updated
08/01/2022
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