STEPHANIE NICKSON

WOODBURN, OR
NPI1023460946
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: OR  4527)
Enumeration Date2016-07-02
Last Update Date2019-08-28
Business Address
STEPHANIE NICKSON MSW, LCSW
1475 MOUNT HOOD AVE
WOODBURN, OR 97071-9066
Phone number: 971-983-5214
Mailing Address
STEPHANIE NICKSON MSW, LCSW
PO BOX 3417
PORTLAND, OR 97208-3417
Phone number: