Individual
AMY NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1900 N HOWARD ST, BALTIMORE, MD 21218-5909
(443) 438-6742
Mailing address
4311 LYNN BURKE RD, MONROVIA, MD 21770-9230
(301) 569-2519
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29515
MD
Other
Enumeration date
01/10/2023
Last updated
02/13/2023
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