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1740204890
MARY W. NICHOLAS
NEW HAVEN, CT
NPI
1740204890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 001336)
Enumeration Date
2006-07-26
Last Update Date
2007-09-11
Business Address
Mrs. MARY W. NICHOLAS PhD, L.C.S.W.
441 ORANGE ST
NEW HAVEN, CT 06511-6217
Phone number: 203-776-4495
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Mailing Address
Mrs. MARY W. NICHOLAS PhD, L.C.S.W.
25 WATER ST
GUILFORD, CT 06437-2861
Phone number: 203-458-0661
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