Individual
MRS. DORIAN NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P007823
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P007823
LICENSE CLINICAL SOCIAL WORKER ASSOCIATE
NC
Enumeration date
11/27/2012
Last updated
07/19/2018
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