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Individual

KYLE GERALD BOYD NICHOLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
131 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 838-4816
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60684994
WA
1041S0200X
School Social Worker
Primary

Other

Enumeration date
01/14/2015
Last updated
03/06/2024
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