Organization
PATTI O. NICHOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATTI O NICHOLS LICSW (THERAPIST)
(603) 494-0682
Entity
Organization
Contact information
Practice address
201 RIVERWAY PL, BEDFORD COMMONS, BEDFORD, NH 03110-6763
(603) 494-0682
Mailing address
21 HAMPSHIRE HILLS DR, BOW, NH 03304-4919
(603) 494-0682
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1340
NH
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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