Individual
MR. BRYAN DICKISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
424 GUYTON CT, MULLINS, SC 29574-6014
(842) 423-8292
Mailing address
PO BOX 1011, MARION, SC 29571-1011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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