Provider Information for 1275147506
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TAMARA NIXON LMHC
Sex: Female
NPI: 1275147506
Last Updated: 2020-09-03
Certification Date: 2020-09-03
Certification Date: 2020-09-03
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1275147506 | ||||||||
| Enumeration Date | 2020-09-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 98 PEBBLE LN N FALMOUTH, MA 02556-2123 United States Phone: 201-486-6023 | Fax: | ||||||||
| Primary Practice Address | 98 PEBBLE LN N FALMOUTH, MA 02556-2123 United States Phone: 201-486-6023 | Fax: | ||||||||
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