Stone Nickerson

NPI #1922593300 in Springfield, Ohio

Provider Information

NPI Number: 1922593300
Entity Type: Individual
Name: Stone Nickerson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jun 27, 2018
Last Updated: Jun 27, 2018

Practice Location

Address: 1918 MECHANICSBURG RD
City: Springfield
State: Ohio
ZIP Code: 45503-3147
Phone: (937) 399-6101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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