SCOTT MICHAEL DICKINSON

SHELTON, WA
NPI1679034748
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00004514)
Enumeration Date2019-03-29
Last Update Date2022-02-24
Business Address
SCOTT MICHAEL DICKINSON SUDP
506 W FRANKLIN ST
SHELTON, WA 98584-3517
Phone number: 360-427-5232
Mailing Address
SCOTT MICHAEL DICKINSON SUDP
PO BOX 59
CHEHALIS, WA 98532-0059
Phone number: 360-463-0927
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