Individual
ALEXIS NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 PARK AVE W, MANSFIELD, OH 44906-3702
(419) 526-5437
Mailing address
640 PARK AVE W, MANSFIELD, OH 44906-3702
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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