Carol S Dickerson, LCSW

NPI #1104871151 in Marshall, Missouri

Provider Information

NPI Number: 1104871151
Entity Type: Individual
Name: Carol S Dickerson, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 33 E JACKSON ST
City: Marshall
State: Missouri
ZIP Code: 65340-2153
Phone: (660) 886-8063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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