Individual
OLIVIA NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A, ED.S.
Contact information
Practice address
1607 DOWLING ST, KENDALLVILLE, IN 46755-9407
(260) 347-5236
Mailing address
3536 FRANKLIN DR, AUBURN, IN 46706-9449
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
000018008
IN
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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