Individual
MRS. ANGELA W. DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1255 THREE OAKS CIR, MIDWEST CITY, OK 73130-5310
(405) 308-2528
Mailing address
333 W MAIN ST, STE 210, ARDMORE, OK 73401-6320
(580) 224-2929
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3525
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200361440A
—
OK
Enumeration date
02/28/2007
Last updated
07/03/2019
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