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1659034577
NICHOLAS MEDIATE
EASTON, PA
NPI
1659034577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: PA PC013854)
Enumeration Date
2021-10-18
Last Update Date
2021-10-18
Business Address
NICHOLAS MEDIATE LPC
900 FIELDSTONE TRL
EASTON, PA 18040-7486
Phone number: 570-620-6684
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Mailing Address
NICHOLAS MEDIATE LPC
900 FIELDSTONE TRL
EASTON, PA 18040-7486
Phone number: 570-620-6684
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