Individual
MRS. JULIE ANN NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16629 WILD HORSE CREEK RD, CHESTERFIELD, MO 63005-1627
(314) 640-9105
Mailing address
16629 WILD HORSE CREEK RD, CHESTERFIELD, MO 63005-1627
(314) 640-9105
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
12/21/2023
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