Grant, Nickole M

Grant, Nickole M is an sole proprietor health care provider with primary practice located at 5525 Nw Downs St , Port St Lucie FL 34986-4006. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grant, Nickole M can be contacted via phone (772) 878-7944.

Contact Information

Primary practice address
5525 Nw Downs St Port St Lucie FL 34986-4006
Phone: (772) 878-7944
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW6338 Florida

Profile Details

NPI number 1487983235
LBN Legal business name Grant, Nickole M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2009
Last updated Dec 8th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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