Madison Dickert

NPI #1568150597 in Fort Mill, South Carolina

Provider Information

NPI Number: 1568150597
Entity Type: Individual
Name: Madison Dickert
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Apr 27, 2023
Last Updated: Apr 27, 2023

Practice Location

Address: 117 SPRATT ST
City: Fort Mill
State: South Carolina
ZIP Code: 29715-4100
Phone: (704) 931-1010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Professional — Professional	101YP2500X	Primary

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