Individual
JOANNA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2556 E ANN ST, PHILADELPHIA, PA 19134-4949
(540) 819-6415
Mailing address
2556 E ANN ST, PHILADELPHIA, PA 19134-4949
(540) 819-6415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904013456
VA
1041C0700X
Clinical Social Worker
Primary
CW023061
PA
Other
Enumeration date
11/19/2021
Last updated
01/01/2023
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