Individual
CAROL DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
144 WASHINGTON RD, EDGEWATER, MD 21037-1412
(410) 956-5000
Mailing address
14312 MOUNT OAK RD, BOWIE, MD 20721-1206
(478) 287-5618
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08621
MD
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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