Individual
RALPH H NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Contact information
Practice address
310 S 5TH AVE, PRINCETON, IN 47670-3519
(812) 385-5275
(812) 422-7558
Mailing address
415 MULBERRY ST, EVANSVILLE, IN 47713-1230
(812) 423-7791
(812) 422-7558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000731A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100240880
—
IN
01
—
34000731A
LICENSE
IN
Enumeration date
08/16/2006
Last updated
05/08/2009
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