Individual
MR. GARRETT DICKINSON
Active
Individual
MR. GARRETT DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
164X00000X
Licensed Vocational Nurse
Primary
263044
CA
Other
Enumeration date
03/09/2011
Last updated
01/24/2012
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