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Individual

TESIA PATRICE NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
5048 E 57TH ST STE B, SIOUX FALLS, SD 57108-8821
(605) 306-3240
(605) 271-3376
Mailing address
5048 E 57TH ST STE B, SIOUX FALLS, SD 57108-8821
(605) 306-3240
(605) 271-3376

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6406
SD
1041C0700X
Clinical Social Worker
6406
SD

Other

Enumeration date
07/31/2023
Last updated
08/11/2023
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