Individual
MRS. CLAUDIA SORRELLS NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5950 WOLFGANG DR, MILTON, FL 32570-8750
(334) 447-9623
Mailing address
5950 WOLFGANG DR, MILTON, FL 32570-8750
(334) 447-9623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW7294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW7294
LICENSE PRACTICE NUMBER
FL
Enumeration date
06/15/2005
Last updated
12/20/2011
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