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1053539148
NORMAN S. NICKLE
OLYMPIA, WA
NPI
1053539148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH 00004979)
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
Miss NORMAN S. NICKLE MSW
1005 OLYMPIA AVE NE
OLYMPIA, WA 98506-4033
Phone number: 360-357-8293
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Mailing Address
Miss NORMAN S. NICKLE MSW
1005 OLYMPIA AVE NE
OLYMPIA, WA 98506-4033
Phone number: 360-357-8293
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