Individual
AMY MARIE DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR
Contact information
Practice address
1821 UNIVERSITY AVE W STE N385, SAINT PAUL, MN 55104-2872
(612) 326-7579
(612) 326-7579
Mailing address
506 PRAIRIE LN, HUDSON, WI 54016-7040
(612) 805-0882
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
12-36
WI
Other
Enumeration date
10/18/2017
Last updated
03/17/2018
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