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1568544740
DANIEL BRIAN NICHOLAS
TINLEY PARK, IL
NPI
1568544740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071004167)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
Dr. DANIEL BRIAN NICHOLAS PsyD
17732 OAK PARK AVE
TINLEY PARK, IL 60477
Phone number: 708-342-1773
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Mailing Address
Dr. DANIEL BRIAN NICHOLAS PsyD
17732 OAK PARK AVE
TINLEY PARK, IL 60477
Phone number: 708-342-1773
Copy
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