Individual
KASEY JEAN DICKASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4611 HARD SCRABBLE RD # 239, COLUMBIA, SC 29229-8584
(253) 514-2523
Mailing address
316 MID VALLEY CTR # 186, CARMEL, CA 93923-8516
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/07/2020
Last updated
03/07/2020
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