Individual
MS. NICOLE MARIE DIMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, SAC-IT
Contact information
Practice address
7633 GANSER WAY STE 204, MADISON, WI 53719-2092
(608) 829-1800
(608) 829-1885
Mailing address
2317 INTERNATIONAL LN STE 119, MADISON, WI 53704-3154
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8396
WI
Other
Enumeration date
12/11/2017
Last updated
07/27/2023
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