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1821480799
LYSSA NICKLE
VALDOSTA, GA
NPI
1821480799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: GA CSW004376)
Enumeration Date
2015-03-02
Last Update Date
2015-03-02
Business Address
LYSSA NICKLE L.C.S.W.
3021 SCHROER DR
VALDOSTA, GA 31602-4067
Phone number: 229-630-2499
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Mailing Address
LYSSA NICKLE L.C.S.W.
3021 SCHROER DR
VALDOSTA, GA 31602-4067
Phone number: 229-630-2499
Copy
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