Clint Dickson

NPI 1174790653 - Counselor - 101Y00000X

NPI Details
NPI 1174790653
Gender Male
Enumeration Date 05/13/2008
Last Updated 05/13/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4508 STADIUM BLVD
JONESBORO AR, 72404-9675, US
Phone (870) 933-6886
Fax (870) 933-9395
Business Location
4508 STADIUM BLVD
JONESBORO AR, 72404-9675, US
Phone (870) 933-6886
Fax (870) 933-9395
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Clint Dickson NPI is 1174790653, taxonomy code is 101Y00000X Clint Dickson physically located at 4508 Stadium Blvd, Jonesboro AR, 72404-9675. NPI Number Clint Dickson has the Individual type.

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1174790653 NPI number is provided on an as is basis without warranty of any kind. 1174790653 is maintained by the National Plan & Provider Enumeration System. The contents of Clint Dickson are for informational purposes only.