Individual
MS. LUCY CAROLINE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PIP
Contact information
Practice address
4126 AUTUMN LN, VESTAVIA, AL 35243-5209
(205) 515-7784
Mailing address
1021 BIENVILLE CT, BIRMINGHAM, AL 35213-2011
(205) 515-7784
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1853C
AL
Other
Enumeration date
04/26/2007
Last updated
06/21/2011
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