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1154578474
VICKI I NISSEN
SAN DIEGO, CA
NPI
1154578474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS13126)
Enumeration Date
2008-08-19
Last Update Date
2008-08-19
Business Address
Ms. VICKI I NISSEN LCSW
6816 HYDE PARK DR UNIT S
SAN DIEGO, CA 92119-2249
Phone number: 619-462-6815
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Mailing Address
Ms. VICKI I NISSEN LCSW
6816 HYDE PARK DR UNIT S
SAN DIEGO, CA 92119-2249
Phone number: 619-462-6815
Copy
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