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1396235032
MARY NICHOLSON
NEW IBERIA, LA
NPI
1396235032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 12812)
Enumeration Date
2018-05-17
Last Update Date
2018-05-17
Business Address
MARY NICHOLSON LCSW
2404 BLUE HAVEN DR
NEW IBERIA, LA 70563-2133
Phone number: 337-315-4061
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Mailing Address
MARY NICHOLSON LCSW
2404 BLUE HAVEN DR
NEW IBERIA, LA 70563-2133
Phone number: 337-315-4061
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