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1639376940
PAMELA NICHOLSON
FAIRFIELD, CA
NPI
1639376940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-06-29
Last Update Date
2010-11-08
Business Address
-- PAMELA NICHOLSON
490 CHADBOURNE RD SUITE A
FAIRFIELD, CA 94534-9613
Phone number: 707-422-0464
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Mailing Address
-- PAMELA NICHOLSON
PO BOX 304
FAIRFIELD, CA 94533-0030
Phone number: 707-422-0464
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