Search › Vermont › 1041C0700X
Stefan Nickum, LICSW
NPI 1518709559 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3993 Vt Route 100
Granville, VT 05747 - Phone
- (206) 818-2439
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- VT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont