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NPI Code Detail

MEDICARE: MS. LAURA A DICKSON LCSW

MEDICARE: MS. LAURA A DICKSON LCSW
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
11041C0700XClinical Social WorkerLCS14276CA

General Provider Information

NPI Number : 1659312338
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURA A DICKSON LCSW
Provider Business Mailing Address
First Line : 595 E COLORADO BLVD STE 205
Second Line :
City : PASADENA
State : CA
Zip : 91101-2028
Country : US
Telephone Number : 626-622-3863
Fax Number :
Provider Business Practice Location Address
First Line : 595 E COLORADO BLVD STE 205
Second Line :
City : PASADENA
State : CA
Zip : 91101-2028
Country : US
Telephone Number : 626-622-3863
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 02/15/2024

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Directions to “ MS. LAURA A DICKSON LCSW” Practice Location

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