Individual
ANDREW JOHN NICHOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 764-2756
Mailing address
1615 PINE ST, EVERETT, WA 98201-2131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60910713
WA
Other
Enumeration date
09/05/2013
Last updated
06/04/2020
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