Thad Shane Dickson, CPHIMS, PMP
NPI #1386930733 in Lakebay, Washington
Provider Information
- NPI Number
- 1386930733
- Entity Type
- Individual
- Name
- Thad Shane Dickson, CPHIMS, PMP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other
- Credential
- CPHIMS, PMP
- Enumeration Date
- Jun 23, 2011
- Last Updated
- May 7, 2014
Practice Location
- Address
- 16511 34TH STREET KP N
- City
- Lakebay
- State
- Washington
- ZIP Code
- 98349-9774
- Phone
- (253) 651-7482
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
| Counselor - Mental Health — Mental Health |
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