Individual
EMILY NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 E IDAHO ST, BOISE, ID 83712-6267
(208) 381-3448
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-36763
ID
Other
Enumeration date
11/15/2022
Last updated
03/01/2023
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