MS. VIVIAN NICKLESS, LCSW

Social Worker

Active Individual
NPI: 1891876629

Practice Address

109 NORTH MAIN ST
North Syracuse, NY 13212

Phone: (315) 452-6808

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes R026808 (NY)

Frequently Asked Questions

NPI 1891876629 is the National Provider Identifier for MS. VIVIAN NICKLESS, LCSW, a Social Worker provider located in North Syracuse, NY. This NPI was enumerated on October 18, 2006.
MS. VIVIAN NICKLESS, LCSW practices at 109 NORTH MAIN ST, North Syracuse, NY 13212.

Quick Facts

NPI
1891876629
Type
Individual
Enumerated
Oct 18, 2006
Last Updated
Jul 8, 2007

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