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Organization

FLOYD D DIX

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FLOYD D DIX LCSW (LICENSED CLINICAL SOCIAL WORKER)
(812) 345-1087
Entity
Organization

Contact information

Practice address
2512 COVINGTON ST, WEST LAFAYETTE, IN 47906-1404
(765) 497-3932
(765) 807-0225
Mailing address
2512 COVINGTON ST, WEST LAFAYETTE, IN 47906-1404
(765) 497-3932
(765) 807-0225

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001107A
IN

Other

Enumeration date
02/13/2013
Last updated
02/13/2013
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