Individual
MR. BRENT NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., L.C.S.W.
Contact information
Practice address
26 W 9TH ST, #1G, NEW YORK, NY 10011-8971
(212) 254-5286
Mailing address
26 W 9TH ST, #1G, NEW YORK, NY 10011-8971
(212) 254-5286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
074854-1
NY
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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