Individual
NICOLE MARIE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
15640 LAKESIDE VILLAGE DR APT 102, CLINTON TOWNSHIP, MI 48038-6048
(989) 390-2705
Mailing address
15640 LAKESIDE VILLAGE DR APT 102, CLINTON TOWNSHIP, MI 48038-6048
(989) 390-2705
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
07/30/2025
Last updated
07/31/2025
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