Individual
MRS. KRISTEN NOELLE DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 READ ST STE A, LOCKPORT, IL 60441-3265
(708) 996-0774
Mailing address
15933 S CODO DR, HOMER GLEN, IL 60491-7924
(610) 223-7911
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150110894
IL
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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