Individual
JENNIFER LYNN NICKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 BROOKSIDE RD STE 80, ALLENTOWN, PA 18106-9023
(484) 867-7078
Mailing address
515 CREEKVIEW DR, HARLEYSVILLE, PA 19438-2437
(267) 474-1772
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW123030
PA
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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