Individual
MS. AMY C NICKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
101 ELLIOTT AVE W STE 500, SEATTLE, WA 98119-4292
(206) 708-6432
Mailing address
8745 GREENWOOD AVE N APT 209, SEATTLE, WA 98103-3650
(503) 714-8064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61428109
WA
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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