Lilli Ann Dickenson

NPI #1093591612 in Lakeville, Minnesota

Provider Information

NPI Number: 1093591612
Entity Type: Individual
Name: Lilli Ann Dickenson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 8, 2023
Last Updated: Sep 8, 2023

Practice Location

Address: 10450 185TH ST W STE 100
City: Lakeville
State: Minnesota
ZIP Code: 55044-6696
Phone: (612) 509-1283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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