Individual
JACQUELINE R NICHOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, LSW
Contact information
Practice address
716 ADAIR AVE, ZANESVILLE, OH 43701-2843
(740) 891-9000
Mailing address
33 S 5TH ST, ZANESVILLE, OH 43701-3510
(740) 891-9000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2411446
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/16/2018
Last updated
09/30/2024
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