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1669812517
LONITA GENICE NICHOLSON
GREENVILLE, SC
NPI
1669812517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-06-25
Last Update Date
2013-06-25
Business Address
-- LONITA GENICE NICHOLSON
1400 CLEVELAND ST
GREENVILLE, SC 29607-2410
Phone number: 864-467-3790
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Mailing Address
-- LONITA GENICE NICHOLSON
1400 CLEVELAND ST
GREENVILLE, SC 29607-2410
Phone number: 864-467-3790
Copy
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