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Individual
STACEY DAWN WILLIAMSON NICHOLS
Active
Individual
STACEY DAWN WILLIAMSON NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801088675
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1715928
—
MI
Enumeration date
11/02/2006
Last updated
04/11/2024
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