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1376028415
MICHAEL NICCOLS
UNIONTOWN, PA
NPI
1376028415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-09-25
Last Update Date
2018-09-25
Business Address
MICHAEL NICCOLS
630 CHERRY TREE LN
UNIONTOWN, PA 15401-8947
Phone number: 724-439-0308
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Mailing Address
MICHAEL NICCOLS
630 CHERRY TREE LN
UNIONTOWN, PA 15401-8947
Phone number: 724-439-0308
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