Individual
ANGELLA M NICHOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3770 E AMITY AVE UNIT 106, NAMPA, ID 83687-1194
(208) 750-8235
Mailing address
11935 EMERSON ST, CALDWELL, ID 83605-7990
(208) 590-1461
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8921318
ID
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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