Individual
MR. NICHOLAS L TEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1500 E WOODROW WILSON AVE, (SOCIAL WORK - 122), JACKSON, MS 39216-5116
(601) 362-4471
(601) 368-4160
Mailing address
1500 E WOODROW WILSON AVE, (SOCIAL WORK - 122), JACKSON, MS 39216-5116
(601) 362-4471
(601) 368-4160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M6882
MS
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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