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1912371931
SUZANNE DICKERSON
THIBODAUX, LA
NPI
1912371931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-11-16
Last Update Date
2019-03-27
Business Address
SUZANNE DICKERSON
102 W 2ND ST
THIBODAUX, LA 70301-3004
Phone number: 985-446-5244
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Mailing Address
SUZANNE DICKERSON
102 W 2ND ST
THIBODAUX, LA 70301-3004
Phone number: 985-446-5244
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