Individual
STACEY DICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 W HIGH ST, SAINT MARYS, OH 45885-2077
(419) 300-1411
Mailing address
416 E FRONT ST APT B, NEW BREMEN, OH 45869-1039
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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