Individual
MRS. BECKY ROXANNE NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1428 CENTRAL PKWY, GULF BREEZE, FL 32563-9103
(850) 916-7205
Mailing address
1428 CENTRAL PKWY, GULF BREEZE, FL 32563-9103
(850) 916-7205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
NONE
FL
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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