MS. Vivian Elaine Nickless, LCSW
NPI #1891876629 in North Syracuse, New York
Provider Information
- NPI Number
- 1891876629
- Entity Type
- Individual
- Name
- MS. Vivian Elaine Nickless, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- LCSW
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 109 NORTH MAIN ST
- City
- North Syracuse
- State
- New York
- ZIP Code
- 13212
- Phone
- (315) 452-6808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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