Lisa H Nichols, LCSW, RN, BC

NPI #1942471917 in Ellijay, Georgia

Provider Information

NPI Number: 1942471917
Entity Type: Individual
Name: Lisa H Nichols, LCSW, RN, BC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW, RN, BC
Enumeration Date: Mar 18, 2008
Last Updated: Mar 18, 2008

Practice Location

Address: 216 SAILORS DR STE 131
City: Ellijay
State: Georgia
ZIP Code: 30540-3747
Phone: (706) 636-1386

Specialties & Taxonomy Codes

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

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