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1770887853
NICOLE MARIE DERICKS
WEXFORD, PA
NPI
1770887853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: PA PC006396)
Enumeration Date
2011-01-04
Last Update Date
2018-09-19
Business Address
NICOLE MARIE DERICKS M.Ed., LPC
117 VIP DR
WEXFORD, PA 15090-6932
Phone number: 724-934-3905
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Mailing Address
NICOLE MARIE DERICKS M.Ed., LPC
1881 BRODHEAD RD
ALIQUIPPA, PA 15001-5074
Phone number: 412-523-3834
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