Individual
MR. NELSON EDDIE DICKENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A. , C.M. , R.S.S.
Contact information
Practice address
HC 74 BOX 32-5, HARTSHORNE, OK 74547-9700
(918) 297-2495
Mailing address
HC 74 BOX 32-5, HARTSHORNE, OK 74547-9700
(918) 297-2495
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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