Nicole Brown, LCSW
Social Worker, Clinical in Jacksonville, FL. Individual provider (NPI-1).
NPI number1962037366
StatusActive
Last updated in NPPESJun 12, 2022
Details
- NPI
- 1962037366
- Entity type
- Individual (NPI-1)
- Name
- Nicole Brown
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2020
- Certification date
- Jun 12, 2022
- Last updated
- Jun 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW8709 | FL | Yes |
Practice location
8540 Baycenter RdJacksonville, FL 32256-7420
Phone 904-394-5724
Mailing address
8540 Baycenter RdJacksonville, FL 32256-7420
Phone 904-394-5724
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