Individual
BOBBI JO MARIE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW, APSW
Contact information
Practice address
619 RIVER ST, SUITE F, BELLEVILLE, WI 53508-9117
(608) 445-3453
Mailing address
7216 UNIVERSITY AVE, MIDDLETON, WI 53562-2760
(608) 347-4872
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43712900
—
WI
Enumeration date
03/22/2007
Last updated
07/08/2007
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