Sandra Dickens
Social Worker, Clinical in Shelton, CT. Individual provider (NPI-1).
NPI number1023831765
StatusActive
Last updated in NPPESNov 1, 2024
Details
- NPI
- 1023831765
- Entity type
- Individual (NPI-1)
- Name
- Sandra Dickens
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2024
- Certification date
- Nov 1, 2024
- Last updated
- Nov 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 14538 | CT | Yes |
Practice location
1 Enterprise Dr Ste 415Shelton, CT 06484-4631
Phone 203-255-5078
Mailing address
12 Elmwood DrSeymour, CT 06483-2433
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