Individual
MRS. SHEENA RAE NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
2917 DOGTOWN RD, REEDSVILLE, WV 26547-7056
(304) 900-2002
Mailing address
2917 DOGTOWN RD, REEDSVILLE, WV 26547-7056
(304) 900-2002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
BP00943676
WV
1041C0700X
Clinical Social Worker
Primary
DP00943676
WV
Other
Enumeration date
01/04/2011
Last updated
07/21/2022
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