Edward Nichols, LCSW

NPI #1669734596 in Sidney, New York

Provider Information

NPI Number
1669734596
Entity Type
Individual
Name
Edward Nichols, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jun 15, 2012
Last Updated
Oct 11, 2012

Practice Location

Address
22 WEIR ST
Address 2
3RD FLOOR
City
Sidney
ZIP Code
13838-1022
Phone
(607) 563-8707

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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