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1891876629
VIVIAN ELAINE NICKLESS
NORTH SYRACUSE, NY
NPI
1891876629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY R026808)
Enumeration Date
2006-10-18
Last Update Date
2007-07-08
Business Address
Ms. VIVIAN ELAINE NICKLESS LCSW
109 NORTH MAIN ST
NORTH SYRACUSE, NY 13212
Phone number: 315-452-6808
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Mailing Address
Ms. VIVIAN ELAINE NICKLESS LCSW
109 NORTH MAIN ST
NORTH SYRACUSE, NY 13212
Phone number: 315-452-6808
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