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Individual

ALLISON NICOLAIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LMFT

Contact information

Practice address
4426 HUGH HOWELL RD STE B503, TUCKER, GA 30084-4918
(404) 990-4888
Mailing address
4426 HUGH HOWELL RD STE B503, TUCKER, GA 30084-4918

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW007061
GA
1041C0700X
Clinical Social Worker
Primary
CSW007272
GA
106H00000X
Marriage & Family Therapist
MFT001932
GA

Other

Enumeration date
12/10/2018
Last updated
09/29/2022
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