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1023244555
SHELLY NICOL
VANCOUVER, WA
NPI
1023244555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WA 60620544)
Enumeration Date
2009-06-10
Last Update Date
2016-03-04
Business Address
-- SHELLY NICOL
7507 NE 51ST ST
VANCOUVER, WA 98662-6007
Phone number: 360-906-1190
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Mailing Address
-- SHELLY NICOL
7507 NE 51ST ST
VANCOUVER, WA 98662-6007
Phone number: 360-906-1190
Copy
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