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Individual
NICOLE DIXON
Active
Individual
NICOLE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL014356
PA
235Z00000X
Speech-Language Pathologist
Primary
SP.14240
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0438553
—
OH
Enumeration date
01/02/2019
Last updated
05/01/2026
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