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Individual

DANIELLE KIZZIAH NICHOLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1320 DECATUR PIKE, ATHENS, TN 37303-2418
(423) 746-1405
(423) 745-6413
Mailing address
303 OLIVIA CIR, LOUDON, TN 37774-5800
(865) 314-3211

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW0000012831
TN

Other

Enumeration date
09/17/2021
Last updated
09/21/2022
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