Individual
NICHOLE SPJUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 ARTILLERY PARK DR UNIT 102, FORT MITCHELL, KY 41017-2794
(859) 429-2120
Mailing address
305 ARTILLERY PARK DR UNIT 102, FORT MITCHELL, KY 41017-2794
(859) 429-2120
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255497
KY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
LICENSURE
—
Enumeration date
12/13/2017
Last updated
04/08/2021
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