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Individual

JAMIE ROSE DICKENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2011 4TH ST, LA GRANDE, OR 97850-2511
(541) 963-4139
(541) 429-6612
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(877) 708-1119
(541) 278-8349

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5083
OR

Other

Enumeration date
03/15/2024
Last updated
01/14/2026
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