Individual
NICOLE DASYA NORCROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW CAPSW
Contact information
Practice address
1710 LAWRENCE DR STE 200, DE PERE, WI 54115-9195
(920) 364-9078
Mailing address
PO BOX 22040, GREEN BAY, WI 54305-2040
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9787-123
—
Other
Enumeration date
01/10/2020
Last updated
12/23/2021
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