NICKESHA CHRISTINE AZAN

WOODSTOCK, GA
NPI1598281750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW009076)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  83024)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-08-19
Last Update Date2024-04-24
Business Address
NICKESHA CHRISTINE AZAN
400 CHURCHILL CT STE 440
WOODSTOCK, GA 30188-6871
Phone number: 202-384-2875
Mailing Address
NICKESHA CHRISTINE AZAN
400 CHURCHILL CT STE 440
WOODSTOCK, GA 30188-6871
Phone number: 202-384-2875