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Individual

MR. GEORGE DICKERSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LBS

Contact information

Practice address
5544 CATHARINE ST, PHILADELPHIA, PA 19143-2512
(267) 517-4755
Mailing address
5544 CATHARINE ST, PHILADELPHIA, PA 19143-2512
(267) 517-4755

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/22/2023
Last updated
08/22/2023
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