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1134791080
STEPHEN E DICKERSON
STATESVILLE, NC
NPI
1134791080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC LCAS-27181)
Enumeration Date
2021-07-12
Last Update Date
2021-07-29
Business Address
STEPHEN E DICKERSON MS, CRC, LCAS-A
211 S TRADD ST
STATESVILLE, NC 28677-5859
Phone number: 828-655-2930
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Mailing Address
STEPHEN E DICKERSON MS, CRC, LCAS-A
211 S TRADD ST
STATESVILLE, NC 28677-5859
Phone number: 828-655-2930
Copy
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