Individual
MRS. JENNIFER DAWN NICOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2810 E CAUSEWAY APPROACH, MANDEVILLE, LA 70448-3502
(985) 875-2340
Mailing address
2810 E CAUSEWAY APPROACH, MANDEVILLE, LA 70448-3502
(985) 875-2340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8009
LA
Other
Enumeration date
03/27/2007
Last updated
10/15/2012
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