Individual
JACQUELINE NICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
3100 TRADITION CIR, MT PLEASANT, SC 29466-7200
(843) 654-7945
(317) 884-3388
Mailing address
2567 KINGSFIELD ST, MOUNT PLEASANT, SC 29466-7251
(412) 726-3926
(800) 603-6046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6765
SC
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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