Stacey Dawn Dickenson
NPI #1457962771 in Dunmore, West Virginia
Provider Information
- NPI Number
- 1457962771
- Entity Type
- Individual
- Name
- Stacey Dawn Dickenson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Aug 11, 2020
- Last Updated
- Jul 22, 2021
Practice Location
- Address
- 1320 GALFORD RUN RD
- City
- Dunmore
- State
- West Virginia
- ZIP Code
- 24934-9170
- Phone
- (304) 636-9326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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