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1386723633
LISA DICKERSON
GREENVILLE, NC
NPI
1386723633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 766)
Enumeration Date
2006-11-06
Last Update Date
2007-07-08
Business Address
MS. LISA DICKERSON BS
CHILDREN'S DEVELOPMENTAL SERVICES AGENCY - DEPT OF PED IRONS BUILDING - OGLESBY DR.
GREENVILLE, NC 27858
Phone number: 252-737-1177
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Mailing Address
MS. LISA DICKERSON BS
PO BOX 751069
CHARLOTTE, NC 28275-1069
Phone number: 252-744-3253
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