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Individual

DR. CARL NICKESON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1635 E ROBINSON ST, ORLANDO, FL 32803-5932
(407) 898-8544
(407) 898-9384
Mailing address
1635 E ROBINSON ST, ORLANDO, FL 32803-5932
(407) 898-8544
(407) 898-9384

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY2477
FL

Other

Enumeration date
12/01/2006
Last updated
07/08/2007
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