Individual
EMILY KATHERINE NICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 WASHINGTON ST STE P55, NORWELL, MA 02061-1742
(774) 454-2420
Mailing address
80 WASHINGTON ST STE P55, NORWELL, MA 02061-1742
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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