Pauline Dickerson LSW
Full Name
Pauline Dickerson LSW
NPI Number
1518057975
NPI Type
Individual Provider
Gender
Female
Enumeration Date
10/13/2006
Specialties
(Taxonomies)Licenses
State
North Dakota
License Number
2400
Contact
Information
Purpose
Mailing
Location
Address
1237 W DIVIDE AVE
1237 W DIVIDE AVE
City
Bismarck
Bismarck
State
ND
ND
Postal Code
58501-1208
58501-1208
Country
US
US
Telephone Number
(701) 328-8819
(701) 328-8819
Identifiers
Identifier
17857
Identifier State
ND
Identifier Issuer
BCBS
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007