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Individual

MR. JAMES WELDON NICHOLSON I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSWA

Contact information

Practice address
6885 CLIFFDALE RD, FAYETTEVILLE, NC 28314-2833
(910) 339-0400
Mailing address
90 CASTLEROCK DR, SANFORD, NC 27332-1379

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PO12057
NC

Other

Enumeration date
11/03/2017
Last updated
11/03/2017
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