Individual
LYNDA KAYE NICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3322 S CAMPBELL AVE STE T-1, SPRINGFIELD, MO 65807-4980
(417) 220-4480
(417) 414-0017
Mailing address
3322 S CAMPBELL AVE STE T-1, SPRINGFIELD, MO 65807-4980
(417) 220-4480
(417) 414-0017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002832
MO
Other
Enumeration date
05/01/2007
Last updated
07/02/2024
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