Individual
MRS. SHERILEE CHAVIS NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
50 MEADOW VALLEY CT, MIDLAND, GA 31820-4393
(251) 533-9875
Mailing address
50 MEADOW VALLEY CT, MIDLAND, GA 31820-4393
(251) 533-9875
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1844C
AL
1041C0700X
Clinical Social Worker
Primary
CSW003780
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021808556
MEDICARE
GA
Enumeration date
02/06/2006
Last updated
10/08/2012
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