Individual
MONIQUE L NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2526 N MAIN ST, DANVILLE, VA 24540-2333
(434) 836-9510
Mailing address
1418 YOUNGS MILL RD, GREENSBORO, NC 27406-9066
(336) 324-9333
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202007677
VA
235Z00000X
Speech-Language Pathologist
Primary
8787
NC
Other
Enumeration date
11/20/2012
Last updated
03/16/2020
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