Individual
ANGELA LYNN NICKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2001 KINVARA DR, PITTSBURGH, PA 15237-3801
(412) 401-3636
Mailing address
301 CALEDONIA PL, CRANBERRY TOWNSHIP, PA 16066-3407
(412) 401-3636
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW139757
PA
Other
Enumeration date
01/04/2025
Last updated
01/04/2025
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