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Individual

BRENDA M. DICKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D

Contact information

Practice address
PO BOX 92, FORT JENNINGS, OH 45844-0092
(919) 519-0105
Mailing address
PO BOX 92, FORT JENNINGS, OH 45844-0092
(919) 519-0105

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001425
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1821316225
VA
Enumeration date
05/10/2010
Last updated
03/12/2025
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