Individual
CAM TU NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
29 E CAYUGA ST, OSWEGO, NY 13126-1241
(315) 326-4100
(315) 326-4229
Mailing address
170 W 1ST ST S, FULTON, NY 13069-2231
(315) 720-3161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
082656
NY
Other
Enumeration date
02/15/2018
Last updated
06/20/2022
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