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Individual

STEVEN LYLE NICHOLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, LICSW

Contact information

Practice address
650 PENNSYLVANIA AVE SE STE 440, WASHINGTON, DC 20003-4424
(202) 544-5440
Mailing address
2512 Q ST NW APT 123, WASHINGTON, DC 20007-4395
(864) 557-1674

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC200002192
DC

Other

Enumeration date
07/31/2023
Last updated
08/04/2023
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