Individual
NICHOLE R DAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4925 LACROSS RD STE 111, NORTH CHARLESTON, SC 29406-6512
(843) 552-1220
(843) 552-0502
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(419) 695-8010
(419) 695-0004
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
06/20/2019
Last updated
06/29/2022
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