Individual
ETHEL DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
135 ELDRIDGE ST UNIT D, MANCHESTER, CT 06040-6197
(860) 888-0800
Mailing address
135 ELDRIDGE ST UNIT D, MANCHESTER, CT 06040-6197
(860) 888-0800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005954
CT
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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