Kershanda Lee Nicholson, MSW

NPI #1376385450 in Dallas, Oregon

Provider Information

NPI Number
1376385450
Entity Type
Individual
Name
Kershanda Lee Nicholson, MSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
MSW
Enumeration Date
Jun 10, 2024
Last Updated
Jun 10, 2024

Practice Location

Address
16140 ELLENDALE RD
City
Dallas
State
Oregon
ZIP Code
97338-9667
Phone
(971) 289-5052

Specialties & Taxonomy Codes

Specialty
Social Worker

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