Individual
MS. AMY NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
101 MECHANIC ST, GARDNER, MA 01440-3119
(978) 668-3008
Mailing address
101 MECHANIC ST, GARDNER, MA 01440-3119
(978) 668-3008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
116418
MA
Other
Enumeration date
05/15/2009
Last updated
04/29/2023
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