Individual
MATTIE LYNNE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
2722 EDDY LN, EAU CLAIRE, WI 54703-1204
(608) 495-0958
Mailing address
2722 EDDY LN, EAU CLAIRE, WI 54703-1204
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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