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Individual

MS. ALYSSA ELAINE DICKINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
611 N STATE ST, STANTON, MI 48888-9702
(616) 302-6795
Mailing address
133 N CAMBURN ST APT B, STANTON, MI 48888-8999
(616) 302-6795

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary

Other

Enumeration date
03/11/2026
Last updated
03/11/2026
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