Most Relevant Information
Provider Data
| NPI Number: | 1003231325 |
| Provider Name: | KAREN NICHOLS BSW |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/24/2014 |
| Last Updated: | 02/24/2014 |
Provider Practice Location
22170 W 9 MILE RD
SOUTHFIELD
MI
480336007
Practice Location Phone/Fax
| Phone: | 2483726874 |
| Fax: | 2483551402 |
Provider Mailing Location
22170 W 9 MILE RD
SOUTHFIELD
MI
480336007
Provider Mailing Phone/Fax
| Phone: | 2483726874 |
| Fax: | 2483551402 |