Most Relevant Information
Provider Data
| NPI Number: | 1003315128 |
| Provider Name: | BRANDEE NICHOLS LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 51447 |
Most Important Dates
| Enumeration Date: | 02/04/2018 |
| Last Updated: | 10/08/2020 |
Provider Practice Location
902 N 10TH ST
KILLEEN
TX
765414829
Practice Location Phone/Fax
| Phone: | 2543366818 |
| Fax: |
Provider Mailing Location
2809 W. STAN SCHLUETER LOOP, SUITE 101
#136
KILLEEN
TX
76549
Provider Mailing Phone/Fax
| Phone: | 2543070626 |
| Fax: |