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1184882607
ELIZABETH L. NICKELS
SAN LEANDRO, CA
NPI
1184882607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY22119)
Enumeration Date
2008-05-30
Last Update Date
2021-02-16
Business Address
ELIZABETH L. NICKELS M.A., Psy.D.
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577-4962
Phone number: 510-746-1188
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Mailing Address
ELIZABETH L. NICKELS M.A., Psy.D.
2662 WALLACE ST
OAKLAND, CA 94606-3346
Phone number: 510-414-2416
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