Individual
CARLY M DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
115 N BROADWAY ST, SUITE 1, GEORGETOWN, KY 40324-1301
(502) 867-1336
(502) 867-8164
Mailing address
115 N BROADWAY ST, SUITE 1, GEORGETOWN, KY 40324-1301
(502) 867-1336
(502) 867-8164
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
08/23/2010
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