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1861610594
BRENT H NICHOLS
BRUNSWICK, GA
NPI
1861610594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: GA 1673)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
Mr. BRENT H NICHOLS LPC
1421 LEE ST
BRUNSWICK, GA 31520-7132
Phone number: 912-262-6080
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Mailing Address
Mr. BRENT H NICHOLS LPC
1421 LEE ST
BRUNSWICK, GA 31520-7132
Phone number: 912-262-6080
Copy
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