Individual
CAROL NICKLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 JOHNSON FERRY PL, SUITE G-10, MARIETTA, GA 30068-2048
(770) 321-6705
(404) 551-3891
Mailing address
1230 JOHNSON FERRY PL, SUITE G-10, MARIETTA, GA 30068-2048
(770) 321-6705
(404) 551-3891
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006173
GA
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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