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Individual

MRS. SHIRLEY YVETTE NICHOLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
3211 SWEET AUDREY LN, RICHMOND, TX 77406-2752
(281) 414-2280

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
32143
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32143
LMSW
TX
Enumeration date
10/02/2021
Last updated
10/02/2021
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