Individual
CHARLES JOSEPH NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
10075 BERGIN RD UNIT C, HOWELL, MI 48843-7049
(810) 444-2484
Mailing address
6184 SUNDANCE TRL, BRIGHTON, MI 48116-7746
(810) 844-3242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801104612
MI
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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