Individual
REGINA RENEE DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
550 E 1400 N STE T, LOGAN, UT 84341-2450
(435) 716-1320
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 716-1320
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
10535186-3501
UT
Other
Enumeration date
05/21/2015
Last updated
01/12/2026
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