Individual
DESTINY DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2416 BEDGOOD DR SW, WILSON, NC 27893-8515
(252) 265-9200
Mailing address
PO BOX 194, GRIFTON, NC 28530-0194
(252) 561-6409
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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