Individual
AUTUMN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4660 KITSAP WAY, BREMERTON, WA 98312-2357
(360) 373-2536
Mailing address
4660 KITSAP WAY, BREMERTON, WA 98312-2357
(360) 373-2536
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
08/25/2023
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