Individual
MISS ALEXIS NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
44899 CENTRE CT, CLINTON TOWNSHIP, MI 48038-5510
(586) 792-1654
(586) 792-1656
Mailing address
44899 CENTRE CT, CLINTON TOWNSHIP, MI 48038-5510
(586) 792-1654
(586) 792-1656
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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