Individual
ASTERIQUE DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
4181 OAK FOREST DR NE, BROOKHAVEN, GA 30319-1422
(225) 313-7759
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN252896
GA
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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