Individual
ANGELA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
1303 HIGHWAY 65 S, CLINTON, AR 72031-6706
(501) 745-4448
(501) 748-8826
Mailing address
1303 HIGHWAY 65 S, CLINTON, AR 72031-6706
(501) 745-4448
(501) 748-8826
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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