Individual
ELIZABETH ASHLEY NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 BLACKHAWK RD, CADIZ, KY 42211-9624
(270) 331-0923
(270) 522-7868
Mailing address
630 BLACKHAWK RD, CADIZ, KY 42211-9624
(270) 331-0923
(270) 522-7868
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
199802186
KY
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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