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1790842086
BRUCE MICHAEL NICHOLS
GOLDEN VALLEY, MN
NPI
1790842086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MN 13201)
Enumeration Date
2007-01-03
Last Update Date
2007-07-08
Business Address
-- BRUCE MICHAEL NICHOLS M.A., LICSW
1405 LILAC DR N STE 150
GOLDEN VALLEY, MN 55422-4535
Phone number: 763-544-8194
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Mailing Address
-- BRUCE MICHAEL NICHOLS M.A., LICSW
1405 LILAC DR N STE 150
GOLDEN VALLEY, MN 55422-4535
Phone number: 763-544-8194
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