KELLY NICOLE DICKERSON

MONROE, GA
NPI1003439928
Former NameKELLY JACKSON DICKERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW007086)
Enumeration Date2020-05-27
Last Update Date2024-07-31
Business Address
KELLY NICOLE DICKERSON LCSW
204 W SPRING ST
MONROE, GA 30655-1914
Phone number: 770-599-7508
Mailing Address
KELLY NICOLE DICKERSON LCSW
204 W SPRING ST
MONROE, GA 30655-1914
Phone number: 770-599-7508