MRS. Kelly Hannon Nichols, LCSW-R
NPI #1649640764 in Fayetteville, New York
Provider Information
- NPI Number
- 1649640764
- Entity Type
- Individual
- Name
- MRS. Kelly Hannon Nichols, LCSW-R
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW-R
- Enumeration Date
- Oct 1, 2015
- Last Updated
- Oct 1, 2015
Practice Location
- Address
- 215 DAWLEY RD
- City
- Fayetteville
- State
- New York
- ZIP Code
- 13066-2546
- Phone
- (315) 420-6293
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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