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Individual
NICHOLA LYDON
Active
Individual
NICHOLA LYDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CPRS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC0082800
NJ
1041C0700X
Clinical Social Worker
14464
CT
1041C0700X
Clinical Social Worker
Primary
44SC06271400
NJ
1041C0700X
Clinical Social Worker
CW025161
PA
Other
Enumeration date
02/25/2020
Last updated
12/24/2024
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