Individual
KRISTA DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 PINE GATE DR, SUMMERVILLE, SC 29483-5586
(843) 252-3116
Mailing address
132 PINE GATE DR, SUMMERVILLE, SC 29483-5586
(843) 252-3116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16498
SC
Other
Enumeration date
08/08/2016
Last updated
05/30/2025
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