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Individual

MRS. SHERRIE LYNN NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
811 HARDING ST, WAUPACA, WI 54981-2012
(715) 258-6353
(715) 258-6409
Mailing address
811 HARDING ST, WAUPACA, WI 54981-2012
(715) 258-6353
(715) 258-6409

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
856-124
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1366751497
WI
Enumeration date
10/07/2010
Last updated
03/08/2017
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