Individual
MRS. LORA CLAIRE DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. S., CCC-SLP
Contact information
Practice address
1901 BRIAR RIDGE RD, TUPELO, MS 38804-5903
(716) 662-4955
Mailing address
PO BOX 428, ORCHARD PARK, NY 14127-0428
(716) 662-4955
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3881
MS
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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