Individual
DOMINIQUE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4520 GUERLAIN WAY, PENSACOLA, FL 32505-3020
(850) 207-8419
Mailing address
4520 GUERLAIN WAY, PENSACOLA, FL 32505-3020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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