Individual
KELLY SUE DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LSCSW
Contact information
Practice address
201 MAIN ST, SUITE 100, ATCHISON, KS 66002-2838
(913) 367-1593
(913) 367-1627
Mailing address
201 MAIN ST, SUITE 100, ATCHISON, KS 66002-2838
(913) 367-1593
(913) 367-1627
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
15156
MN
1041C0700X
Clinical Social Worker
Primary
4279
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15156
LICENSE NUMBER
MN
01
—
4279
LICENSE NUMBER
KS
Enumeration date
05/04/2010
Last updated
12/03/2013
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