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NPI Code Detail

MEDICARE: SHAILYN JUSTICE KENDRICK-DICKERSON LMSW

MEDICARE: SHAILYN JUSTICE KENDRICK-DICKERSON LMSW
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
1104100000XSocial Worker117089TX

General Provider Information

NPI Number : 1801745047
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAILYN JUSTICE KENDRICK-DICKERSON LMSW
Provider Business Mailing Address
First Line : 320 WESTWAY PL
Second Line :
City : ARLINGTON
State : TX
Zip : 76018-5245
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 320 WESTWAY PL
Second Line :
City : ARLINGTON
State : TX
Zip : 76018-5245
Country : US
Telephone Number : 817-516-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ SHAILYN JUSTICE KENDRICK-DICKERSON LMSW” Practice Location

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