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Individual
NICHOLAS PACKARD
Active
Individual
NICHOLAS PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
224356
MA
1041C0700X
Clinical Social Worker
Primary
000123275
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2018
Last updated
02/14/2024
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