Shawn Marie Niccolls LCSW

NPI 1720008071 - Social Worker - 1041C0700X

NPI Details
NPI 1720008071
Gender Female
Enumeration Date 07/20/2006
Last Updated 05/11/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
2339 SABASTIAN ST
MOUNT DORA FL, 32757-8713, US
Phone (352) 383-6209
Fax
Business Location
2339 SABASTIAN ST
MOUNT DORA FL, 32757-8713, US
Phone (352) 383-6209
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Florida
License Number SW 9197
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According to our database, Shawn Marie Niccolls LCSW NPI is 1720008071, taxonomy code is 1041C0700X and license number is SW 9197, license state is located at Florida. Shawn Marie Niccolls LCSW physically located at 2339 Sabastian St, Mount Dora FL, 32757-8713. NPI Number Shawn Marie Niccolls LCSW has the Individual type.

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1720008071 NPI number is provided on an as is basis without warranty of any kind. 1720008071 is maintained by the National Plan & Provider Enumeration System. The contents of Shawn Marie Niccolls LCSW are for informational purposes only.