Individual
EVA DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
321 W OAK ST, KISSIMMEE, FL 34741-4421
(833) 769-3524
Mailing address
321 W OAK ST, KISSIMMEE, FL 34741-4421
(337) 693-5248
(321) 697-5661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0890114300
VT
1041C0700X
Clinical Social Worker
Primary
SW24865
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0890114300
STATE LICENSE
VT
Enumeration date
08/01/2017
Last updated
08/05/2025
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