Individual
LORE M DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2501 N 4TH ST STE 18D, FLAGSTAFF, AZ 86004-3701
(318) 265-4287
Mailing address
PO BOX 12204, FLAGSTAFF, AZ 86011-0428
(318) 265-4287
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
4382
AZ
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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