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1770908873
JULANN NICKOLAISEN
THOUSAND OAKS, CA
NPI
1770908873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS#14377)
Enumeration Date
2014-02-26
Last Update Date
2014-02-26
Business Address
-- JULANN NICKOLAISEN LCSW
349 QUEENSBURY ST
THOUSAND OAKS, CA 91360-2053
Phone number: 805-381-0990
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Mailing Address
-- JULANN NICKOLAISEN LCSW
349 QUEENSBURY ST
THOUSAND OAKS, CA 91360-2053
Phone number: 805-381-0990
Copy
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