Individual
KIANDRE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S BROAD ST STE 7, NEW ORLEANS, LA 70119-6447
(504) 209-1214
Mailing address
200 S BROAD ST STE 7, NEW ORLEANS, LA 70119-6447
(504) 209-1214
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/25/2023
Last updated
11/15/2023
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