Tracy L Dickerson
NPI #1063042224 in Chesapeake, Ohio
Provider Information
- NPI Number
- 1063042224
- Entity Type
- Individual
- Name
- Tracy L Dickerson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jan 16, 2020
- Last Updated
- Jan 16, 2020
Practice Location
- Address
- 103 2ND AVE
- City
- Chesapeake
- State
- Ohio
- ZIP Code
- 45619-1134
- Phone
- (740) 451-7627
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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