Individual
NICKI WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
3400 LEBANON RD, MURFREESBORO, TN 37129-1237
(615) 867-6000
Mailing address
3400 LEBANON RD, MURFREESBORO, TN 37129-1237
(615) 867-6000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000003272
TN
Other
Enumeration date
08/31/2006
Last updated
07/01/2014
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