NPI | 1457626889 |
---|---|
Doing Business As | LYNN L NICKENS, M.S.W., LCSW |
Entity Type | Organization |
Authorized Contact | LYNN NICKENS President 760-927-8896 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: CA 18158) |
Enumeration Date | 2012-03-19 |
Last Update Date | 2012-03-19 |