Individual
CAROL NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, PHD
Contact information
Practice address
103 MYRON ST, SUITE A, WEST SPRINGFIELD, MA 01089-1598
(413) 592-1980
Mailing address
51 BARNARD RD, MARLBOROUGH, MA 01752-1543
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
102585
MA
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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