Individual
MRS. CHRISTINE RENEE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1030 SECOND STREET PIKE, SOUTHAMPTON, PA 18966
(215) 355-6525
(267) 989-1703
Mailing address
205 VILLAGE LANE, NEW WILMINGTON, NEW WILMINGTON, PA 16142
(215) 355-6525
(267) 989-1703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW012934
PA
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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