PHYLLIS L DICKERSON

GULFPORT, MS
NPI1114204807
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MS  C)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: AL  2253c)
Enumeration Date2011-11-08
Last Update Date2022-07-21
Business Address
-- PHYLLIS L DICKERSON LCSW
8990 LORRAINE RD
GULFPORT, MS 39503-4176
Phone number: 228-331-3310
Mailing Address
-- PHYLLIS L DICKERSON LCSW
8990 LORRAINE RD
GULFPORT, MS 39503-4176
Phone number: 228-331-3310