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Individual

ANGELA LOUISE DICKMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5930 21ST AVE S, SEATTLE, WA 98108-2986
(507) 327-9127
Mailing address
5930 21ST AVE S, SEATTLE, WA 98108-2986
(507) 327-9127

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
60716229
WA
390200000X
Student in an Organized Health Care Education/Training Program
60841273
WA

Other

Enumeration date
07/16/2018
Last updated
04/03/2021
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