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1316036734
NICOLE SOUTHARD
YAKIMA, WA
NPI
1316036734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW00006282)
Enumeration Date
2006-10-12
Last Update Date
2010-07-20
Business Address
-- NICOLE SOUTHARD MSW
402 S 4TH AVE
YAKIMA, WA 98902-3546
Phone number: 509-575-4084
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Mailing Address
-- NICOLE SOUTHARD MSW
PO BOX 959
YAKIMA, WA 98907-0959
Phone number: 509-575-4084
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