Individual
MS. NICOLE GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
11185 ROANOKE LOOP, DAPHNE, AL 36526-8244
(909) 809-8845
Mailing address
11185 ROANOKE LOOP, DAPHNE, AL 36526-8244
(909) 809-8845
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6662C
AL
104100000X
Social Worker
Primary
ASW72936
CA
Other
Enumeration date
06/29/2015
Last updated
03/19/2026
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