Teresa M. Nicholas

NPI #1114221413 in Madison, Wisconsin

Provider Information

NPI Number: 1114221413
Entity Type: Individual
Name: Teresa M. Nicholas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Dec 29, 2010
Last Updated: Oct 20, 2011

Practice Location

Address: 625 W WASHINGTON AVE
City: Madison
State: Wisconsin
ZIP Code: 53703-2637
Phone: (608) 280-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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