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1336159615
MARK NICKERSON
AMHERST, MA
NPI
1336159615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MA 104628)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
-- MARK NICKERSON LICSW
441 WEST ST
AMHERST, MA 01002-2997
Phone number: 413-256-0550
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Mailing Address
-- MARK NICKERSON LICSW
368 MIDDLE ST
AMHERST, MA 01002-3016
Phone number: 413-256-0550
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