Individual
FALLYN JOAN NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
624 13TH ST S, VIRGINIA, MN 55792-3149
(218) 749-2881
Mailing address
44714 STATE HIGHWAY 65, NASHWAUK, MN 55769-4464
(218) 929-3027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27732
MN
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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