Individual
MR. HARVE LEON NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
3901 WOODLAND AVE, PHILADELPHIA, PA 19104
(215) 222-7465
Mailing address
1242 S 16TH ST, PHILADELPHIA, PA 19146-3068
(267) 688-3901
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW141329
PA
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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