Individual
HUSAM STEPHEN NOLAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
655 7TH ST, 78 MDG/DGHC, ROBINS AFB, GA 31098-2227
(478) 327-8398
Mailing address
9957 SW 54TH LN, GAINESVILLE, FL 32608-4335
(352) 377-2197
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW4713
FL
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
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