Individual
MRS. NICKCO SHAWVON DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA , LPC
Contact information
Practice address
15887 PLAINVIEW AVE, DETROIT, MI 48223-1234
(313) 468-4087
Mailing address
15887 PLAINVIEW AVE, DETROIT, MI 48223-1234
(313) 468-4087
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009258
MI
Other
Enumeration date
12/12/2007
Last updated
12/17/2007
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