GERALD DAVID NICKLEN

MIRAMAR BEACH, FL
NPI1558496919
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: DC  LC302634)
Enumeration Date2007-02-23
Last Update Date2007-07-08
Business Address
Dr. GERALD DAVID NICKLEN PhD, LICSW
9950 US HIGHWAY 98 W LOT F6
MIRAMAR BEACH, FL 32550-4994
Phone number: 850-543-7776
Mailing Address
Dr. GERALD DAVID NICKLEN PhD, LICSW
9950 US HIGHWAY 98 W LOT F6
MIRAMAR BEACH, FL 32550-4994
Phone number: 850-543-7776