Individual
MRS. BARBARA JO NICKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, TVI
Contact information
Practice address
202 CIRCLE DR, LEWISBURG, WV 24901-5138
(304) 667-5383
Mailing address
202 CIRCLE DR, LEWISBURG, WV 24901-5138
(304) 667-5383
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
12/18/2024
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