Individual
NICOLE FICKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
960 CENTURY DR, MECHANICSBURG, PA 17055-4374
(717) 713-3015
Mailing address
960 CENTURY DR, MECHANICSBURG, PA 17055-4374
(717) 713-3015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007777400083
—
PA
Enumeration date
05/23/2014
Last updated
05/23/2014
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