Individual
SONYA NICKELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
968 BUCKHORN BND, LOCUST GROVE, GA 30248-3446
(470) 844-9998
Mailing address
968 BUCKHORN BND, LOCUST GROVE, GA 30248-3446
(912) 332-0440
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
GA
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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