Individual
CHANDRA NIKLEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13215 BROOK LANE, HAGERSTOWN, MD 21742-1514
(301) 733-0330
(301) 733-4038
Mailing address
13121 BROOK LANE, TOLEDO, OH 43604-5027
(301) 733-0330
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1300563-CR
OH
101YM0800X
Mental Health Counselor
Primary
LGP6029
MD
Other
Enumeration date
01/29/2015
Last updated
05/04/2016
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