Stephanie Blackett Nichols, LCSW

NPI #1053704072 in Augusta, Georgia

Provider Information

NPI Number: 1053704072
Entity Type: Individual
Name: Stephanie Blackett Nichols, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Mar 16, 2015
Last Updated: Jun 11, 2015

Practice Location

Address: 3540 WHEELER RD
Address 2: SUITE 619
City: Augusta
State: Georgia
ZIP Code: 30909-1871
Phone: (706) 733-0333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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