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Individual
KELCEY RAYE NICHOLS
Active
Individual
KELCEY RAYE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCASA
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
090826
IA
1041C0700X
Clinical Social Worker
107846
TX
1041C0700X
Clinical Social Worker
15305
SC
1041C0700X
Clinical Social Worker
Primary
C013736
NC
Other
Enumeration date
08/13/2018
Last updated
03/10/2023
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