Individual
ASHLEY DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3302 S BELT HWY STE P, SAINT JOSEPH, MO 64503-1514
(816) 383-0314
Mailing address
3302 S BELT HWY STE P, SAINT JOSEPH, MO 64503-1514
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2018028404
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1418
VA
MO
Enumeration date
12/30/2019
Last updated
12/30/2019
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