Individual
MS. JANET MARIE DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.C., R.N.,
Contact information
Practice address
24 W MARKET ST, TIFFIN, OH 44883-2720
(419) 448-4094
Mailing address
149 CLINTON AVE, TIFFIN, OH 44883-1632
(419) 448-4019
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E. 0003629 SUPV
OH
163WD0400X
Diabetes Educator Registered Nurse
RN. 181935
OH
Other
Enumeration date
06/27/2007
Last updated
09/25/2007
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