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1851686844
JESSICA DIANE NICHOLSON
COLUMBIA, SC
NPI
1851686844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: SC 1468)
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2011-06-17
Last Update Date
2022-07-21
Business Address
JESSICA DIANE NICHOLSON PH.D.
6439 GARNERS FERRY ROAD
COLUMBIA, SC 29208-4123
Phone number: 803-776-4000
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Mailing Address
JESSICA DIANE NICHOLSON PH.D.
1140 KARLANEY AVE
CAYCE, SC 29033-3219
Phone number: 201-206-9839
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