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1205051422
NICHOLA ANDERSON
WILLIAMSON, WV
NPI
1205051422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-14
Last Update Date
2007-07-08
Business Address
-- NICHOLA ANDERSON tlsw
1609 W 3RD AVE
WILLIAMSON, WV 25661-3006
Phone number: 304-235-0026
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Mailing Address
-- NICHOLA ANDERSON tlsw
PO BOX 552
WHITMAN, WV 25652-0552
Phone number:
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