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1063838399
STEPHANIE RENEE NICHOLAS
SALEM, VA
NPI
1063838399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: AZ LCSW-13938)
Enumeration Date
2014-03-11
Last Update Date
2015-05-27
Business Address
Ms. STEPHANIE RENEE NICHOLAS LCSW
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463
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Mailing Address
Ms. STEPHANIE RENEE NICHOLAS LCSW
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463
Copy
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