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NPI Code Detail

MEDICARE: ANN MARIE DIXON

MEDICARE:   ANN MARIE DIXON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1023538824
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN MARIE DIXON
Provider Business Mailing Address
First Line : 10580 W CORTEZ CIR APT 6
Second Line :
City : FRANKLIN
State : WI
Zip : 53132-2937
Country : US
Telephone Number : 414-306-0555
Fax Number :
Provider Business Practice Location Address
First Line : 500 N 3RD ST # 208-34
Second Line :
City : WAUSAU
State : WI
Zip : 54403-4885
Country : US
Telephone Number : 414-306-0555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2017
Last Update Date : 06/22/2017

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Directions to “ ANN MARIE DIXON ” Practice Location

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