Individual
AIMEE LOU NIENSTEDT DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCSW, PMH-C
Contact information
Practice address
1511 CHRISTY DR, JEFFERSON CITY, MO 65101-2854
(573) 632-2777
Mailing address
3208 SAGE GRASS CT, COLUMBIA, MO 65202-5624
(816) 853-7857
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017030079
MO
Other
Enumeration date
08/22/2017
Last updated
07/27/2023
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