Individual
TRACI LYNNE DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12116 DARLINGTON AVE, GARFIELD HTS, OH 44125-3745
(216) 644-0946
Mailing address
12116 DARLINGTON AVE, GARFIELD HTS, OH 44125-3745
(216) 644-0946
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
OH
Other
Enumeration date
11/28/2025
Last updated
11/28/2025
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