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1760847024
NICOLE NICHOLSON
SPRINGFIELD, IL
NPI
1760847024
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Former Name
NICOLE FERRARA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149018128)
Enumeration Date
2015-12-30
Last Update Date
2015-12-30
Business Address
-- NICOLE NICHOLSON LCSW
3132 OLD JACKSONVILLE RD SUITE 200
SPRINGFIELD, IL 62704-7400
Phone number: 217-862-0800
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Mailing Address
-- NICOLE NICHOLSON LCSW
3132 OLD JACKSONVILLE RD SUITE 200
SPRINGFIELD, IL 62704-7400
Phone number: 217-862-0800
Copy
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