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1699822734
LISA NICHOLS
BROOKLYN, NY
NPI
1699822734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
283Q00000X Psychiatric Hospital
(Licence: NY 016302-1)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
LISA NICHOLS PH.D.
1545 ATLANTIC AVENUE
BROOKLYN, NY 11213
Phone number: 718-613-6618
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Mailing Address
LISA NICHOLS PH.D.
414 E 88TH ST APT 1A
NEW YORK, NY 10128-6684
Phone number: 917-257-8481
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