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Individual

CHRISTINE M. NICHOLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
94 STEVENS RD, TOMS RIVER, NJ 08755-1237
(732) 914-1100
(732) 797-3830
Mailing address
425 VISTA CT, BRICK, NJ 08724-5313
(732) 778-0520

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00364300
NJ

Other

Enumeration date
08/28/2007
Last updated
08/28/2007
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