JON W DICKSON

LA CROSSE, WI
NPI1043211550
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  1490)
Enumeration Date2005-08-09
Last Update Date2007-07-08
Business Address
-- JON W DICKSON MS
123 16TH ST S
LA CROSSE, WI 54601-4241
Phone number: 608-775-8646
Mailing Address
-- JON W DICKSON MS
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300