Individual
MRS. CHRISTY LYNN NICKOLAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Mailing address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011025348
MO
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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