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Individual

ALYCIA MARIE NICHOLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 FARMHILL DR, PLAINVILLE, CT 06062-1014
(518) 307-0526
Mailing address
54 MANCHESTER CIR, WEST HARTFORD, CT 06110-1467
(518) 307-0526

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7125
CT

Other

Enumeration date
07/29/2024
Last updated
07/29/2024
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