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1013985597
REBECCA A NICHOLS
MARYVILLE, TN
NPI
1013985597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN 4224)
Enumeration Date
2006-03-09
Last Update Date
2019-01-22
Business Address
REBECCA A NICHOLS LCSW
210 SIMMONS ST
MARYVILLE, TN 37801
Phone number: 865-970-9800
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Mailing Address
REBECCA A NICHOLS LCSW
210 SIMMONS ST
MARYVILLE, TN 37801-4750
Phone number: 865-970-9800
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