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1104196369
JULIA M NICKLE LMHC, INC
DESTIN, FL
NPI
1104196369
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Entity Type
Organization
Authorized Contact
JULIA M NICKLE
Owner
417-812-4866
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH8238)
Enumeration Date
2012-01-05
Last Update Date
2015-02-23
Business Address
JULIA M NICKLE LMHC, INC
3997 COMMONS DR W STE C
DESTIN, FL 32541-8443
Phone number: 850-376-5107
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Mailing Address
JULIA M NICKLE LMHC, INC
PO BOX 11224
SPRINGFIELD, MO 65808-1224
Phone number: 417-812-4866
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