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Individual

MORGAN LACEY DICKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
255 W 4TH ST, KIMBALL, NE 69145-1706
(308) 235-1953
Mailing address
407 S OAK ST, KIMBALL, NE 69145-1544
(308) 250-3482

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2571
NE

Other

Enumeration date
01/31/2024
Last updated
01/31/2024
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