Individual
TIMZETTA A DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34625 CHESTNUT ST, WAYNE, MI 48184-1309
(313) 600-1600
Mailing address
34625 CHESTNUT ST, WAYNE, MI 48184-1309
(313) 600-1600
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
247200000X
Other Technician
—
—
Other
Enumeration date
11/22/2014
Last updated
07/29/2025
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