Individual
ALLECIA DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
10570 S FEDERAL HWY STE 200, PORT ST LUCIE, FL 34952-5606
(772) 380-9972
(772) 380-9976
Mailing address
10570 S FEDERAL HWY STE 200, PORT ST LUCIE, FL 34952-5606
(772) 380-9972
(772) 380-9976
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
596153749
—
FL
Enumeration date
08/30/2012
Last updated
09/11/2019
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