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Individual

MRS. TIFFANI DICKERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN-IBCLC

Contact information

Practice address
1636 N HAMPTON RD STE 227, DESOTO, TX 75115-8601
(972) 765-8195
Mailing address
1636 N HAMPTON RD STE 227, DESOTO, TX 75115-8601
(972) 765-8195

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
764609
TX
374J00000X
Doula

Other

Enumeration date
03/02/2020
Last updated
11/19/2025
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