Individual
MS. NICOLE L NICOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2019 WEALTHY ST SE APT 2, GRAND RAPIDS, MI 49506-3011
(616) 828-2865
Mailing address
2019 WEALTHY ST SE APT 2, GRAND RAPIDS, MI 49506-3011
(616) 828-2865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MI
Other
Enumeration date
06/09/2019
Last updated
03/24/2020
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