VIVIAN ELAINE NICKLESS

NORTH SYRACUSE, NY
NPI1891876629
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: NY  R026808)
Enumeration Date2006-10-18
Last Update Date2007-07-08
Business Address
Ms. VIVIAN ELAINE NICKLESS LCSW
109 NORTH MAIN ST
NORTH SYRACUSE, NY 13212
Phone number: 315-452-6808
Mailing Address
Ms. VIVIAN ELAINE NICKLESS LCSW
109 NORTH MAIN ST
NORTH SYRACUSE, NY 13212
Phone number: 315-452-6808