Individual
MR. NICKY WOODROW COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M ED LMSW
Contact information
Practice address
207 COMMERCE AVENUE, CHESTERFIELD, SC 25709
(843) 623-2229
(843) 623-2553
Mailing address
PO BOX 471, CHESTERFIELD, SC 29709
(843) 623-2229
(843) 623-2553
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2632
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405127
—
SC
Enumeration date
08/31/2006
Last updated
07/08/2007
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