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1861254575
LIBERTY LOUISE NICHOLAS
SAN ANTONIO, TX
NPI
1861254575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 55861)
Enumeration Date
2024-01-29
Last Update Date
2024-08-16
Business Address
LIBERTY LOUISE NICHOLAS LCSW
15514 RIVER BND
SAN ANTONIO, TX 78247-2919
Phone number: 210-685-0711
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Mailing Address
LIBERTY LOUISE NICHOLAS LCSW
15514 RIVER BND
SAN ANTONIO, TX 78247-2919
Phone number: 512-596-5805
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