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Individual

LAUREN MARIE NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 277-6073
Mailing address
1312 S HUDSON ST, SEATTLE, WA 98108-2330
(773) 896-6107

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.014905
IL
1041C0700X
Clinical Social Worker
Primary
LW60428338
WA

Other

Enumeration date
03/13/2013
Last updated
09/25/2014
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