Individual
MRS. MELISSA DICKISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 MAIN ST, BUZZARDS BAY, MA 02532-3221
(508) 813-6535
Mailing address
12 JENNY LIND ST, TAUNTON, MA 02780-1724
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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