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Individual
MS. TARA NICOLSON
Active
Individual
MS. TARA NICOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00269800
NJ
104100000X
Social Worker
44SL05798200
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05672100
NJ
1041C0700X
Clinical Social Worker
CW021327
PA
Other
Enumeration date
11/08/2013
Last updated
03/11/2025
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