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1588418123
MALCOLM CHARLES NIMICK
RICHMOND, VA
NPI
1588418123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0704016055)
Enumeration Date
2024-04-11
Last Update Date
2024-04-11
Business Address
MALCOLM CHARLES NIMICK
2006 BREMO RD
RICHMOND, VA 23226-2438
Phone number: 804-918-1115
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Mailing Address
MALCOLM CHARLES NIMICK
2006 BREMO RD
RICHMOND, VA 23226-2438
Phone number: 804-918-1115
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