Individual
DAVID KENNETH NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3760 CLEARY DR, HOWELL, MI 48843-8542
(517) 548-0081
Mailing address
3760 CLEARY DR, HOWELL, MI 48843-8542
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801085618
MI
Other
Enumeration date
04/14/2008
Last updated
02/05/2018
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