Individual
HOLLY FLORENCE DICKENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
932 W STATE HIGHWAY 152, MUSTANG, OK 73064-2301
(405) 577-5477
Mailing address
6600 SE 74TH ST APT 8302, OKLAHOMA CITY, OK 73135-1152
(860) 833-5334
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
08/10/2021
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