Individual
CAROLYN RUTH NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7439 MIDDLEBELT RD STE 3, WEST BLOOMFIELD, MI 48322-4183
(248) 716-7057
Mailing address
1000 JEFFERSON ST STE 2C, LYNCHBURG, VA 24504-1724
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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