Amanda Jane Nickerson

NPI #1992516397 in Kalkaska, Michigan

Provider Information

NPI Number: 1992516397
Entity Type: Individual
Name: Amanda Jane Nickerson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Jan 15, 2025
Last Updated: Jan 15, 2025

Practice Location

Address: 103 W 3RD ST # E
City: Kalkaska
State: Michigan
ZIP Code: 49646-5107
Phone: (231) 313-1882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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