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1912905522
SLADE C DICKSON
TEMPLE, TX
NPI
1912905522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: TX 18097)
Enumeration Date
2005-07-08
Last Update Date
2007-07-08
Business Address
Mr. SLADE C DICKSON LPC
200 W CALHOUN AVE
TEMPLE, TX 76501-3127
Phone number: 254-774-8806
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Mailing Address
Mr. SLADE C DICKSON LPC
PO BOX 416
TEMPLE, TX 76503-0416
Phone number: 254-774-8806
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