Individual
JODIE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6885 N ORACLE RD, UNIT F, TUCSON, AZ 85704-4222
(208) 660-9149
Mailing address
6535 W WHISPERING WINDMILL LN, MARANA, AZ 85658-4223
(208) 660-9149
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
LL61213471
WA
235Z00000X
Speech-Language Pathologist
Primary
SLP14687
AZ
Other
Enumeration date
10/11/2019
Last updated
06/21/2024
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