Keela Nichols

NPI #1518411800 in Carthage, Illinois

Provider Information

NPI Number: 1518411800
Entity Type: Individual
Name: Keela Nichols
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Aug 4, 2016
Last Updated: Aug 4, 2016

Practice Location

Address: 607 BUCHANAN ST
City: Carthage
State: Illinois
ZIP Code: 62321-1401
Phone: (217) 357-3176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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