Nicole Marie Colone, LMSW
Social Worker, Clinical in South Lyon, MI. Individual provider (NPI-1).
NPI number1164067187
StatusActive
Last updated in NPPESJan 6, 2021
Details
- NPI
- 1164067187
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nicole Marie Colone
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2019
- Certification date
- Jan 6, 2021
- Last updated
- Jan 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801080104 | MI | Yes |
Practice location
127 N Lafayette StSouth Lyon, MI 48178-1210
Phone 248-807-1092
Mailing address
435 Highland AveMilford, MI 48381-1845
Phone 248-807-1092
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