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Individual

GILBERT EARL NICHOLSON-NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.W., L.C.S.W.

Contact information

Practice address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 588-5352
(503) 585-4990
Mailing address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 588-5352
(503) 585-4990

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3700
OR

Other

Enumeration date
12/28/2006
Last updated
07/08/2007
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