Individual
ANDREA DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
174 E LONG ST, COLUMBUS, OH 43215-1809
(614) 645-8417
Mailing address
174 E LONG ST, COLUMBUS, OH 43215-1809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1200835
OH
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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