Nicole Irene Pacifico, MSW, LISW
Social Worker, Clinical in Dayton, OH. Individual provider (NPI-1).
NPI number1215519145
StatusActive
Last updated in NPPESMar 22, 2023
Details
- NPI
- 1215519145
- Entity type
- Individual (NPI-1)
- Name
- Nicole Irene Pacifico
- Credential
- MSW, LISW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2021
- Certification date
- Mar 22, 2023
- Last updated
- Mar 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I.2304372 | OH | Yes |
Practice location
4100 W 3rd StDayton, OH 45428-9000
Phone 937-268-6511
Mailing address
4100 W 3rd StDayton, OH 45428-9000
Phone 937-268-6511
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