BRENDA NICKOLAISON

SAN DIEGO, CA
NPI1679675961
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  40809)
Enumeration Date2006-09-05
Last Update Date2010-03-03
Business Address
-- BRENDA NICKOLAISON LCSW
4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123-1680
Phone number: 800-257-8715
Mailing Address
-- BRENDA NICKOLAISON LCSW
12608 CAMPANA DR
DEL VALLE, TX 78617-3621
Phone number: 402-730-1302
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