NPI 1174801591

Allison Nicola

Practitioner Social Worker Bartow, FL

Practice location

Address: 1239 E Main St, Bartow, FL 33830-5058
Phone: (863) 519-0575
Fax: (863) 582-9251
Mailing address: PO Box 1559, Bartow, FL 33831-1559

Registered specialties (2)

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence SW13296 (FL)

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Rehabilitation Practitioner

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence # 95-1647832 (CA)

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Registry record

NPI: 1174801591
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Aug 2011
Record last updated: 19 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.