Individual
NICOLE DURTSCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
715 CORRINGTON DR, RAYMORE, MO 64083-8271
(816) 260-2485
Mailing address
22 CENTURY BLVD STE 220, NASHVILLE, TN 37214-3787
(615) 454-9850
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2011007254
MO
104100000X
Social Worker
5533
KS
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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