Individual
DR. MARCIA S. NICKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
364 ROGER WILLIAMS AVE, HIGHLAND PARK, IL 60035-4751
(847) 274-5900
Mailing address
364 ROGER WILLIAMS AVE, HIGHLAND PARK, IL 60035-4751
(847) 274-5900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008022
IL
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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