Individual
NICHOLLE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7785 SAINT GERTRUDE AVE, RALEIGH, ND 58564-4103
(701) 597-3419
Mailing address
1525 CAPITAN RDG, EL PASO, TX 79912-8137
(915) 355-0524
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6078
ND
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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