Individual
EMILY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1550 S MAIN ST STE 2, MANSFIELD, PA 16933-9586
(570) 662-7954
(570) 662-7753
Mailing address
24727 ROUTE 6 STE 2, TOWANDA, PA 18848-8257
(570) 265-0100
(570) 265-6741
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW134767
PA
Other
Enumeration date
10/09/2017
Last updated
03/17/2018
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