Individual
ELIZABETH A NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1913 SMITH AVE, THOMASVILLE, GA 31792-5751
(229) 226-7060
(229) 226-7061
Mailing address
104 MOSS TRL, THOMASVILLE, GA 31792-1670
(404) 550-3015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003186
GA
Other
Enumeration date
05/05/2010
Last updated
09/03/2010
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