Individual
ANDREA NICKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
746 YORKSHIRE RD NE, ATLANTA, GA 30306-3247
(615) 332-1260
Mailing address
746 YORKSHIRE RD NE, ATLANTA, GA 30306-3247
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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