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1083046668
LESLIE SUSAN NICHOLS
FERNDALE, MI
NPI
1083046668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801073928)
Enumeration Date
2013-08-06
Last Update Date
2013-08-06
Business Address
Ms. LESLIE SUSAN NICHOLS LMSW, QMRP
642 E 9 MILE RD
FERNDALE, MI 48220-1962
Phone number: 248-547-2668
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Mailing Address
Ms. LESLIE SUSAN NICHOLS LMSW, QMRP
642 E 9 MILE RD
FERNDALE, MI 48220-1962
Phone number: 248-547-2668
Copy
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