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Individual

AMY C NICHOLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
720 HILL ST STE 230, MADISON, WI 53705-3539
(608) 628-0300
Mailing address
720 HILL ST STE 230, MADISON, WI 53705-3539
(608) 628-0300

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7785-125
WI
225700000X
Massage Therapist
3172-146
WI

Other

Enumeration date
04/30/2020
Last updated
04/30/2020
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