Individual
NICHOLAS HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451
(254) 743-1919
Mailing address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
54148
TX
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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