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1871017921
BRIAN E NICKERSON
CHICAGO, IL
NPI
1871017921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2017-07-31
Last Update Date
2023-08-21
Business Address
Mr. BRIAN E NICKERSON LCSW
1700 W VAN BUREN ST
CHICAGO, IL 60612-5500
Phone number: 312-942-6087
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Mailing Address
Mr. BRIAN E NICKERSON LCSW
2501 CHATHAM RD STE N
SPRINGFIELD, IL 62704-4188
Phone number: 312-561-6669
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