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Individual

MRS. STEFANI KRISTINE NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 588-5351
Mailing address
1010 5TH ST NE, SALEM, OR 97301-1243
(503) 910-3519

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4903
OR

Other

Enumeration date
11/19/2007
Last updated
05/26/2011
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