Individual
JENNIFER FRANCES DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED. S.
Contact information
Practice address
84 E J ST, CHULA VISTA, CA 91910-6115
(619) 425-9600
Mailing address
84 E J ST, CHULA VISTA, CA 91910-6115
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
170119929
CA
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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