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1134626732
THERESA LOUISE NICKENS
NEWPORT NEWS, VA
NPI
1134626732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: VA 0813000921)
Enumeration Date
2018-04-10
Last Update Date
2018-04-10
Business Address
THERESA LOUISE NICKENS
5800 MARSHALL AVE
NEWPORT NEWS, VA 23605-2420
Phone number: 757-247-2567
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Mailing Address
THERESA LOUISE NICKENS
5800 MARSHALL AVE
NEWPORT NEWS, VA 23605-2420
Phone number: 757-247-2567
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