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1659134674
AMY EVON NICKERSON
MESQUITE, TX
NPI
1659134674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 103582)
Enumeration Date
2024-02-01
Last Update Date
2024-02-01
Business Address
AMY EVON NICKERSON LCSW
2540 N GALLOWAY AVE STE 105
MESQUITE, TX 75150-4897
Phone number: 832-680-7112
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Mailing Address
AMY EVON NICKERSON LCSW
11212 ERICH DR
BALCH SPRINGS, TX 75180-2006
Phone number: 832-680-7112
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