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1801077854
STEFANI KRISTINE NICHOLS
SALEM, OR
NPI
1801077854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L4903)
Enumeration Date
2007-11-19
Last Update Date
2011-05-26
Business Address
Mrs. STEFANI KRISTINE NICHOLS LCSW
3180 CENTER ST NE
SALEM, OR 97301-4532
Phone number: 503-588-5351
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Mailing Address
Mrs. STEFANI KRISTINE NICHOLS LCSW
1010 5TH ST NE
SALEM, OR 97301-1243
Phone number: 503-910-3519
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