Individual
MS. DAWN NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1061 PLEASANT ST, NEW BEDFORD, MA 02740-6728
(508) 996-8572
(508) 991-8618
Mailing address
14 BARSTOW ST, LAKEVILLE, MA 02347-1706
(508) 399-9126
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113026
MA
Other
Enumeration date
01/23/2007
Last updated
09/16/2012
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