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Individual

ANGELA DAWN MCNICHOLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D

Contact information

Practice address
2800 N SHERIDAN RD, SUITE 108, CHICAGO, IL 60640-6064
(773) 344-1995
Mailing address
5350 N GLENWOOD AVE APT GW, CHICAGO, IL 60640-2299
(773) 456-1045

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009457
IL

Other

Enumeration date
07/23/2017
Last updated
07/23/2017
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