Individual
MRS. NICOLE NUWAYHID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
650 SUN TEMPLE DR, MADISON, AL 35758-8621
(256) 503-2171
Mailing address
240 IVYLEAF DR NW, MADISON, AL 35757-5901
(256) 503-2171
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4800C
AL
Other
Enumeration date
08/24/2021
Last updated
08/25/2021
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