Chase William Dickerson
NPI #1649981481 in Tishomingo, Oklahoma
Provider Information
- NPI Number
- 1649981481
- Entity Type
- Individual
- Name
- Chase William Dickerson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Dec 13, 2022
- Last Updated
- Dec 13, 2022
Practice Location
- Address
- 108 W MAIN ST
- City
- Tishomingo
- State
- Oklahoma
- ZIP Code
- 73460-1723
- Phone
- (580) 371-3019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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