Individual
MRS. SUSAN NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 JOHNSON ST, LYNN, MA 01902-4001
(781) 593-2727
(781) 593-2542
Mailing address
20 LOIS CT, ATTLEBORO, MA 02703-6733
(508) 455-2379
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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