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1760579338
KAREN NICELY
SUFFOLK, VA
NPI
1760579338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 084-07-004)
Enumeration Date
2006-10-06
Last Update Date
2007-07-08
Business Address
-- KAREN NICELY LPC
5268 GODWIN BLVD
SUFFOLK, VA 23434-8135
Phone number: 757-925-2227
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Mailing Address
-- KAREN NICELY LPC
5268 GODWIN BLVD
SUFFOLK, VA 23434-8135
Phone number: 757-925-2227
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