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1124452008
LACEY A NICHOLS
THE DALLES, OR
NPI
1124452008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L11457)
Enumeration Date
2013-08-27
Last Update Date
2023-11-02
Business Address
Mrs. LACEY A NICHOLS LCSW
1210 DRY HOLLOW RD STE 4 1/2
THE DALLES, OR 97058-3167
Phone number: 541-240-8938
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Mailing Address
Mrs. LACEY A NICHOLS LCSW
1210 DRY HOLLOW RD STE 4 1/2
THE DALLES, OR 97058-3167
Phone number: 541-240-8938
Copy
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