Lara Dickerson's National Provider Identifier (NPI) Details
Lara Dickerson, LCSW
NPI: 1497453468
Enumeration Date: 2023-02-20
Last updated: 2023-02-20
Sole Proprietor: YES
Status: active
Postal Address: 3701 W CARMEN ST UNIT 2, TAMPA, FL
Phone: 813-239-4987
Primary Practice Address: 3701 W CARMEN ST UNIT 2, TAMPA, FL
Practice's phone: 813-239-4987