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Individual
NICOLAS SHERIDAN
Active
Individual
NICOLAS SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC016042
PA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/22/2017
Last updated
04/04/2024
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