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1992473326
CHRISTOPHER MELTRAVIS NICKSON
ANTIOCH, TN
NPI
1992473326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2021-08-31
Last Update Date
2021-08-31
Business Address
Dr. CHRISTOPHER MELTRAVIS NICKSON M.A., Ph.D.
5170 HICKORY HOLLOW PKWY UNIT 175
ANTIOCH, TN 37013-3084
Phone number: 334-434-2009
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Mailing Address
Dr. CHRISTOPHER MELTRAVIS NICKSON M.A., Ph.D.
5170 HICKORY HOLLOW PKWY UNIT 175
ANTIOCH, TN 37013-3084
Phone number: 334-434-2009
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