Sydney Dickerson, Lcsw-S, PLLC
Social Worker, Clinical in Round Rock, TX. Organization (NPI-2).
NPI number1558096941
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1558096941
- Entity type
- Organization (NPI-2)
- Legal business name
- Sydney Dickerson, Lcsw-S, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 19, 2022
- Certification date
- Jul 21, 2022
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
306 E Main St Ste 104Round Rock, TX 78664-5220
Phone 512-934-4426
Mailing address
306 E Main St Ste 104Round Rock, TX 78664-5220
Phone 512-934-4426
Authorized official
Sydney Dickerson
Therapist
5129344426
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