Provider Information for 1750504510
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Ms. JUDITH ANN DICKEY LMFT
Other Names:Former Name:Miss JUDITH ANN NICKELSex: Female
NPI: 1750504510
Last Updated: 2024-06-25
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1750504510 | ||||||||
| Enumeration Date | 2007-04-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 501 EAST TERRACE AVENUE FRESNO, CA 93704 United States Phone: 559-304-3849 | Fax: | ||||||||
| Primary Practice Address | 501 EAST TERRACE AVENUE FRESNO, CA 93704 United States Phone: 559-304-3849 | Fax: | ||||||||
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