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Individual
SKYLAR JORDAN NICHOLS
Active
Individual
SKYLAR JORDAN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2019018317
MO
1041C0700X
Clinical Social Worker
149.024865
IL
1041C0700X
Clinical Social Worker
Primary
2022004433
MO
1041C0700X
Clinical Social Worker
LC200002677
DC
1041C0700X
Clinical Social Worker
LICSW125947
MA
Other
Enumeration date
07/20/2019
Last updated
05/25/2026
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