Most Relevant Information
Provider Data
| NPI Number: | 1003241134 |
| Provider Name: | ERNESTINE DICKSON MSW, LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 9286-C |
Most Important Dates
| Enumeration Date: | 09/09/2013 |
| Last Updated: | 07/13/2022 |
Provider Practice Location
516 S EAST AVE
FAYETTEVILLE
AR
727016048
Practice Location Phone/Fax
| Phone: | 5013131033 |
| Fax: |
Provider Mailing Location
516 S EAST AVE
FAYETTEVILLE
AR
727016048
Provider Mailing Phone/Fax
| Phone: | 3522782501 |
| Fax: |