Individual
ANDREW DIXON
Active
Individual
ANDREW DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
12521
KS
104100000X
Social Worker
2022023556
MO
1041C0700X
Clinical Social Worker
06780
KS
1041C0700X
Clinical Social Worker
Primary
2024046760
MO
Other
Enumeration date
11/29/2023
Last updated
01/28/2026
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