LYSSA NICKLE

VALDOSTA, GA
NPI1821480799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW004376)
Enumeration Date2015-03-02
Last Update Date2015-03-02
Business Address
-- LYSSA NICKLE L.C.S.W.
3021 SCHROER DR
VALDOSTA, GA 31602-4067
Phone number: 229-630-2499
Mailing Address
-- LYSSA NICKLE L.C.S.W.
3021 SCHROER DR
VALDOSTA, GA 31602-4067
Phone number: 229-630-2499
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