Nichole White Coyne, LCSW
Social Worker, Clinical in Ruskin, FL. Individual provider (NPI-1).
NPI number1003252529
StatusActive
Last updated in NPPESJul 29, 2022
Details
- NPI
- 1003252529
- Entity type
- Individual (NPI-1)
- Name
- Nichole White Coyne
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 13, 2013
- Certification date
- Jul 29, 2022
- Last updated
- Jul 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW15463 | FL | Yes |
| 103K00000X | Behavior Analyst | – | – |
Practice location
720 Ocean Spray DrRuskin, FL 33570-2043
Phone 561-350-6272
Mailing address
720 Ocean Spray DrRuskin, FL 33570-2043
Phone 561-350-6272
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