Individual
MR. MICHAEL LEE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
200 W DOUGLAS AVE, SUITE #560, WICHITA, KS 67202-3013
(316) 269-2322
(316) 269-2448
Mailing address
1939 N GRACE AVENUE CT, ANDOVER, KS 67002-9594
(316) 733-9676
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW 1589
KS
Other
Enumeration date
07/05/2006
Last updated
12/28/2007
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