Nickolas Teller

NPI #1245547629 in Macomb, Michigan

Provider Information

NPI Number: 1245547629
Entity Type: Individual
Name: Nickolas Teller
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Sep 8, 2010
Last Updated: Sep 8, 2010

Practice Location

Address: 50435 RIVERSIDE DR
City: Macomb
State: Michigan
ZIP Code: 48044-1239
Phone: (586) 854-0025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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