Individual
DANIELLE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
697 EDGEWOOD RD, WILKESBORO, NC 28697-9562
(336) 667-1555
(336) 667-2088
Mailing address
697 EDGEWOOD RD, WILKESBORO, NC 28697-9562
(336) 667-1555
(336) 667-2088
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6005
NC
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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