Individual
SCOTT ARNOLD NICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 FULTON AVE UNIT A, ROCKPORT, TX 78382-7229
(682) 551-3633
Mailing address
201 FULTON AVE UNIT A, ROCKPORT, TX 78382-7229
(682) 551-3633
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
57457
TX
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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