Individual
CARLYNN DENISE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
24230 KARIM BLVD STE 100, NOVI, MI 48375-2960
(248) 745-4900
Mailing address
20295 HARBOR LN, SOUTHFIELD, MI 48076-4929
(313) 949-2911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801069851
MI
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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