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Organization

PATRICIA M NICHOLS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA NICHOLS LCSW (THERAPIST)
(307) 755-1000
Entity
Organization

Contact information

Practice address
502 S 4TH ST, LARAMIE, WY 82070-3704
(307) 755-1000
Mailing address
502 S 4TH ST, LARAMIE, WY 82070-3704
(307) 755-1000

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
05/09/2022
Last updated
05/09/2022
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