Nikole Boston, LCSW Valid NPI

Individual provider · Clinical Social Worker · Shade Gap, PA

NPI

1720599434

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

CW019868 (PA)

Sex

Female

Sole proprietor

No

Enumerated

2017-10-20

Last updated

2021-08-04