Individual
MR. ANDREW SCOTT NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 W PLEASANT ST, KNOXVILLE, IA 50138-3399
(641) 828-6329
Mailing address
1515 WEST PLEASENT ST., KNOXVILLE, IA 50138
(641) 828-6329
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06436
IA
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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