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Individual

DR. KATHY ROSALIE NICHOLLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
10094 OAK MEADOW LN, LAKE WORTH, FL 33449-5467
(561) 370-4439
Mailing address
10094 OAK MEADOW LN, LAKE WORTH, FL 33449-5467
(561) 370-4439
(561) 721-6401

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8492
FL

Other

Enumeration date
09/10/2012
Last updated
11/14/2012
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