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1427023779
NICK J DEWAAL
HAGERSTOWN, MD
NPI
1427023779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LC1688)
Enumeration Date
2006-02-21
Last Update Date
2007-07-08
Business Address
Mr. NICK J DEWAAL LCPC, NCC
1190 MOUNT AETNA RD
HAGERSTOWN, MD 21740-6833
Phone number: 301-514-5049
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Mailing Address
Mr. NICK J DEWAAL LCPC, NCC
31 SUMTER DR
KEEDYSVILLE, MD 21756-1353
Phone number: 301-432-2940
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