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Individual

DAVID WAYNE NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSHS

Contact information

Practice address
2600 W 9TH ST, 4TH FLOOR, CHESTER, PA 19013-2040
(610) 497-7249
(610) 497-7654
Mailing address
71 THREE RIVERS DR, NEWARK, DE 19702-4207
(302) 838-5265

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
01/19/2007
Last updated
07/08/2007
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