Elena Sergeyevna Nichols, LICSW

NPI #1013588490 in Winooski, Vermont

Provider Information

NPI Number
1013588490
Entity Type
Individual
Name
Elena Sergeyevna Nichols, LICSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
Jul 7, 2021
Last Updated
Jul 7, 2021

Practice Location

Address
486 MAIN ST APT A
State
Vermont
ZIP Code
05404-1338
Phone
(802) 865-3450

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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