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Jefferson Nichols, LBSW
NPI 1902146764 · on the registry since 2013
Practice
- Address
- 24354 Ecorse Rd
Taylor, MI 48180 - Phone
- (313) 292-5300
- Organisation at this address
- Dowriver'S Nest
Downrivers Nest Adult Day Health Care Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-02-15
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 Michigan