Individual
ALYSHA N NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
3375 US ROUTE 60 E, HUNTINGTON, WV 25705-2837
(304) 525-7851
(304) 525-1073
Mailing address
3375 US ROUTE 60 E, HUNTINGTON, WV 25705-2837
(304) 525-7851
(304) 525-1073
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CP00943152
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005355002
—
WV
Enumeration date
06/15/2010
Last updated
06/15/2010
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