Individual
DANIELLE DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 BROADWAY, SEATTLE, WA 98122-5325
(206) 741-4320
Mailing address
316 BROADWAY, SEATTLE, WA 98122-5325
(206) 741-4320
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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