Individual
CHEREESE DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4014 62ND ST, WOODSIDE, NY 11377-4989
(718) 593-5301
Mailing address
1408B CLINTONVILLE ST, WHITESTONE, NY 11357-1861
(516) 780-0770
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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