Most Relevant Information
Provider Data
| NPI Number: | 1003552761 |
| Provider Name: | DANNY DICKERSON BS |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/06/2022 |
| Last Updated: | 05/06/2022 |
Provider Practice Location
1021 QUARRIER ST STE 310
CHARLESTON
WV
253012338
Practice Location Phone/Fax
| Phone: | 3045133900 |
| Fax: |
Provider Mailing Location
301 SWARTHMORE AVE # A
CHARLESTON
WV
253023215
Provider Mailing Phone/Fax
| Phone: | 3044156055 |
| Fax: |