Individual
KEELA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 BUCHANAN ST, CARTHAGE, IL 62321-1401
(217) 357-3176
Mailing address
700 SE CROSS ST, MOUNT STERLING, IL 62353-1561
(217) 357-3176
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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