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1609214592
DENITA DICKSON
TUCKER, GA
NPI
1609214592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA 053750973)
Enumeration Date
2013-06-12
Last Update Date
2013-06-12
Business Address
-- DENITA DICKSON MSW
5748 JORDANAIRE PL
TUCKER, GA 30084-2038
Phone number: 706-618-5526
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Mailing Address
-- DENITA DICKSON MSW
5748 JORDANAIRE PL
TUCKER, GA 30084-2038
Phone number: 706-618-5526
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