Individual
MS. BETTY DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
11 UNION ST, LEBANON, NH 03766-1714
(603) 448-3468
Mailing address
11 UNION ST, LEBANON, NH 03766-1714
(603) 448-3468
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0890000101
VT
1041C0700X
Clinical Social Worker
Primary
65
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007525
—
NH
Enumeration date
08/31/2006
Last updated
07/08/2007
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