Individual
NICOLE SERVICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
871 LOWCOUNTRY BLVD, MOUNT PLEASANT, SC 29464-3066
(843) 501-1099
Mailing address
871 LOWCOUNTRY BLVD, MOUNT PLEASANT, SC 29464-3066
(843) 501-1099
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14529
SC
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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