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1679170575
WENDY DIANE NICKERSON
PHILADELPHIA, PA
NPI
1679170575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW021228)
Enumeration Date
2020-10-04
Last Update Date
2020-10-04
Business Address
WENDY DIANE NICKERSON LCSW
741 S 2ND ST
PHILADELPHIA, PA 19147-3425
Phone number: 610-256-7321
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Mailing Address
WENDY DIANE NICKERSON LCSW
741 S 2ND ST
PHILADELPHIA, PA 19147-3425
Phone number: 610-256-7321
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