Nikole Boston, LCSW

NPI #1720599434 in Shade Gap, Pennsylvania

Provider Information

NPI Number: 1720599434
Entity Type: Individual
Name: Nikole Boston, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 20, 2017
Last Updated: Aug 4, 2021

Practice Location

Address: 11891 NEELYTON RD
City: Shade Gap
State: Pennsylvania
ZIP Code: 17255-9247
Phone: (717) 489-2949

Specialties & Taxonomy Codes

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

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