Individual
SARAH NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
920 60TH ST, KENOSHA, WI 53140-4041
(262) 654-5333
(262) 654-7818
Mailing address
920 60TH ST, KENOSHA, WI 53140-4041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8900-123
WI
Other
Enumeration date
11/13/2015
Last updated
12/22/2021
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