Individual
MRS. DENISE ELAINE DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
125 S MAIN ST, LIBERAL, MO 64762-9313
(417) 843-2082
Mailing address
125 S MAIN ST, PO BOX 178, LIBERAL, MO 64762-0178
(417) 843-2082
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2002007122
MO
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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