Individual
LISA ANN DICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2250 E KELLER LN, MILLCREEK, UT 84109-2929
(801) 541-9865
Mailing address
2250 E KELLER LN, MILLCREEK, UT 84109-2929
(801) 541-9865
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
378839-3501
UT
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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