Individual
MISS CHRISTINA M NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 LIBERTY HILL RD, LUMBERTON, NC 28358-2442
(910) 272-9056
(910) 272-9057
Mailing address
210 LIBERTY HILL RD, LUMBERTON, NC 28358-2442
(910) 272-9056
(910) 272-9057
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10153
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10153
LICENSE
NC
Enumeration date
06/11/2007
Last updated
07/15/2014
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