Kathryn Suzanne Dickerson, BS/BHWC

NPI #1447624630 in Ada, Oklahoma

Provider Information

NPI Number: 1447624630
Entity Type: Individual
Name: Kathryn Suzanne Dickerson, BS/BHWC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Health Educator
Credential: BS/BHWC
Enumeration Date: Nov 25, 2015
Last Updated: Oct 13, 2016

Practice Location

Address: 111 E 12TH ST
City: Ada
State: Oklahoma
ZIP Code: 74820-6501
Phone: (580) 436-2690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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