Individual
MS. DAWN NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4300 BAYOU BLVD STE 27, PENSACOLA, FL 32503-2671
(850) 466-7127
Mailing address
4768 TIMBER RIDGE DR, PACE, FL 32571-8034
(850) 516-2896
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW20283
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW20283
LICENSED CLINICAL SOCIAL WORKER
FL
Enumeration date
08/08/2022
Last updated
03/29/2023
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