MRS. Lynette Marie Nisly, LCSW

NPI #1669988200 in Leola, Pennsylvania

Provider Information

NPI Number: 1669988200
Entity Type: Individual
Name: MRS. Lynette Marie Nisly, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Dec 19, 2017
Last Updated: Apr 13, 2020

Practice Location

Address: 1417 OREGON RD
City: Leola
State: Pennsylvania
ZIP Code: 17540-9754
Phone: (717) 661-3548

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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