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Individual
NICHOLAS BARRY
Active
Individual
NICHOLAS BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60958095
WA
1041C0700X
Clinical Social Worker
SW.11458 LMSW
SC
Other
Enumeration date
12/10/2015
Last updated
11/17/2020
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