Individual
BRIAN L DIXON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6400 E BROAD ST FL 4, COLUMBUS, OH 43213-1505
(614) 655-3345
Mailing address
6400 E BROAD ST FL 4, COLUMBUS, OH 43213-1505
(614) 655-3345
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
S2102105
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/15/2018
Last updated
10/28/2021
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