Individual
MRS. CAROL G DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
318 KENDALL AVE, MCCOMB, MS 39648-2854
(601) 600-2633
(601) 385-1626
Mailing address
318 KENDALL AVE, MCCOMB, MS 39648-2854
(601) 600-2633
(601) 385-1626
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S-2126
MS
Other
Enumeration date
06/18/2024
Last updated
07/02/2024
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