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1245994433
LOUISE KATHLEEN NICHOLS
RONKONKOMA, NY
NPI
1245994433
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2021-10-25
Last Update Date
2023-09-13
Business Address
Ms. LOUISE KATHLEEN NICHOLS M.S. ED
2579 MOTOR PKWY
RONKONKOMA, NY 11779-4937
Phone number: 631-738-0310
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Mailing Address
Ms. LOUISE KATHLEEN NICHOLS M.S. ED
75 ELM AVE
SMITHTOWN, NY 11787-3507
Phone number: 631-871-2891
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