Individual
ANISSA DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
22480 NICHOLAS AVE, EUCLID, OH 44123-3252
(216) 800-2707
Mailing address
22480 NICHOLAS AVE, EUCLID, OH 44123-3252
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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