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1477580132
GARY LEE NICHOLS
TAMPA, FL
NPI
1477580132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 991083)
Enumeration Date
2006-06-27
Last Update Date
2018-04-20
Business Address
Mr. GARY LEE NICHOLS LCSW
3250 ZEMKE AVE
TAMPA, FL 33621-5023
Phone number: 813-827-9170
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Mailing Address
Mr. GARY LEE NICHOLS LCSW
3250 ZEMKE AVE
TAMPA, FL 33621-5023
Phone number: 813-827-9170
Copy
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