Individual
NICOLE LEVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2902 LANES BRIDGE RD, JESUP, GA 31545-7956
(414) 455-3879
Mailing address
2902 LANES BRIDGE RD, JESUP, GA 31545-7956
(414) 455-3879
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
135938-121
GA
Other
Enumeration date
11/25/2025
Last updated
12/21/2025
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