Individual
TAMMY OLENE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW CP
Contact information
Practice address
164 BALLARD RD, PELZER, SC 29669-9135
(864) 642-8191
Mailing address
164 BALLARD RD, PELZER, SC 29669-9135
(864) 642-8191
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17879
SC
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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