Individual
MR. JAMES GLENN DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2007 STATE ST, WASHINGTON, IN 47501-8505
(812) 254-1558
(812) 254-8308
Mailing address
515 BAYOU ST, VINCENNES, IN 47591-1034
(812) 886-6800
(812) 886-6809
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
01/16/2008
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