MRS. Lacey A Nichols, LCSW

NPI #1124452008 in The Dalles, Oregon

Provider Information

NPI Number
1124452008
Entity Type
Individual
Name
MRS. Lacey A Nichols, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Aug 27, 2013
Last Updated
Nov 2, 2023

Practice Location

Address
1210 DRY HOLLOW RD STE 4 1/2
State
Oregon
ZIP Code
97058-3167
Phone
(541) 240-8938

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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