Individual
MS. ELIZABETH DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, NMT
Contact information
Practice address
7130 MINSTREL WAY STE 160, COLUMBIA, MD 21045-5336
(704) 249-8722
Mailing address
8431 BRADDOCK WAY, COLUMBIA, MD 21046-1265
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MO4282
MD
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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