KENNETH R NICHOLS

FARMINGTON, NM
NPI1548707649
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  C-11080)
Enumeration Date2017-01-26
Last Update Date2020-08-31
Business Address
KENNETH R NICHOLS LCSW
1001 W BROADWAY STE D
FARMINGTON, NM 87401-5638
Phone number: 505-325-0238
Mailing Address
KENNETH R NICHOLS LCSW
819 N WATSON AVE
FARMINGTON, NM 87401-9127
Phone number: 253-427-0881
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