STEPHANIE BLACKETT NICHOLS

AUGUSTA, GA
NPI1053704072
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW005084)
Enumeration Date2015-03-16
Last Update Date2015-06-11
Business Address
-- STEPHANIE BLACKETT NICHOLS LCSW
3540 WHEELER RD SUITE 619
AUGUSTA, GA 30909-1871
Phone number: 706-733-0333
Mailing Address
-- STEPHANIE BLACKETT NICHOLS LCSW
3540 WHEELER RD SUITE 619
AUGUSTA, GA 30909-1871
Phone number:
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