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Individual

JANICE M DICKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
506 W FRANKLIN ST, SHELTON, WA 98584-3517
(360) 427-5232
Mailing address
PO BOX 59, CHEHALIS, WA 98532-0059

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
03/29/2019
Last updated
03/29/2019
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