Individual
MISTY DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 LEE RD, FOLLANSBEE, WV 26037-1729
(304) 281-4346
Mailing address
507 LEE RD, FOLLANSBEE, WV 26037-1729
(304) 281-4346
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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