Individual
ANGELA NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
309 E MAIN ST, PICKENS, SC 29671-2319
(864) 898-5800
(864) 898-5804
Mailing address
109 E WOODSIDE CIR, LIBERTY, SC 29657-1534
(864) 898-5800
(864) 898-5804
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11102816
SC
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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