Individual
DORINDA M NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6801 E 117TH ST, KANSAS CITY, MO 64134-3701
(816) 554-5517
Mailing address
901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086-5544
(816) 347-3030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000995
MO
Other
Enumeration date
08/29/2006
Last updated
03/18/2008
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