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Individual
ETHEL NIKOLAKOPOULOS
Active
Individual
ETHEL NIKOLAKOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
85317
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85317
LICENSE CLINICAL SOCIAL WORKER
CA
Enumeration date
11/19/2020
Last updated
11/19/2020
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