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Individual

MRS. GINA SUE NICHOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2710 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-3574
(610) 297-7500
(610) 297-7533
Mailing address
3295 FOREST INN RD, SUITE3, PALMERTON, PA 18071-5467
(855) 826-8482
(855) 826-8482

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
SW126549
PA
1041C0700X
Clinical Social Worker
Primary
CWO17522
PA

Other

Enumeration date
09/16/2008
Last updated
05/11/2020
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