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1194287797
DEBRA JEAN NICHOLSON
LYNN, MA
NPI
1194287797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA 1513AD)
Enumeration Date
2019-04-02
Last Update Date
2019-06-11
Business Address
DEBRA JEAN NICHOLSON Cadc
11 CIRCLE AVE
LYNN, MA 01905-3050
Phone number: 781-836-4054
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Mailing Address
DEBRA JEAN NICHOLSON Cadc
11 CIRCLE AVE
LYNN, MA 01905-3050
Phone number: 781-836-4054
Copy
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