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Individual

MS. LAUREN AUBREY NICKELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 879-2208
Mailing address
10 WISE ST, JAMAICA PLAIN, MA 02130-1921
(717) 387-2604

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/09/2010
Last updated
09/09/2010
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