Stephanie Nickson, MSW, LCSW

NPI #1023460946 in Woodburn, Oregon

Provider Information

NPI Number: 1023460946
Entity Type: Individual
Name: Stephanie Nickson, MSW, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MSW, LCSW
Enumeration Date: Jul 2, 2016
Last Updated: Aug 28, 2019

Practice Location

Address: 1475 MOUNT HOOD AVE
City: Woodburn
State: Oregon
ZIP Code: 97071-9066
Phone: (971) 983-5214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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