Individual
ERICA DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
814 W 131ST ST, COMPTON, CA 90222-2014
(562) 415-7778
Mailing address
814 W 131ST ST, COMPTON, CA 90222-2014
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36919
CA
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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