Tiawana E Dickerson
NPI #1003585308 in Omak, Washington
Provider Information
- NPI Number
- 1003585308
- Entity Type
- Individual
- Name
- Tiawana E Dickerson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Sep 9, 2021
- Last Updated
- Sep 9, 2021
Practice Location
- Address
- 1007 KOALA DR
- City
- Omak
- State
- Washington
- ZIP Code
- 98841-9247
- Phone
- (509) 826-6191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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