Individual
DORRAN NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1030 FAYETTEVILLE RD SE, ATLANTA, GA 30316-2921
(678) 421-4380
Mailing address
1030 FAYETTEVILLE RD SE, ATLANTA, GA 30316-2921
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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