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Individual

AMBREA NICOLE DICKERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2300 CANTON ST APT 1213, DALLAS, TX 75201-8422
(972) 922-5496
Mailing address
2300 CANTON ST APT 1213, DALLAS, TX 75201-8422
(972) 922-5496

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
TX

Other

Enumeration date
10/04/2025
Last updated
10/04/2025
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