Organization
3 DIMENSION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA S NICKERSON LCSW (OWNER)
(800) 254-0710
Entity
Organization
Contact information
Practice address
910 JAMIE DR, GRAND PRAIRIE, TX 75052-2735
(800) 254-0710
(800) 254-7175
Mailing address
910 JAMIE DR, GRAND PRAIRIE, TX 75052-2735
(800) 254-0710
(800) 254-7175
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
36829
TX
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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