Individual
ABRA DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10217 PIERPONT AVE, CLEVELAND, OH 44108-3250
(216) 215-4644
Mailing address
10217 PIERPONT AVE, CLEVELAND, OH 44108-3250
(216) 215-4644
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
3747P1801X
Personal Care Attendant
378098690499
OH
376K00000X
Nurse's Aide
378098690499
OH
Other
Enumeration date
04/26/2016
Last updated
10/02/2024
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