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Individual
MS. NICOLE CHAN
Active
Individual
MS. NICOLE CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCS 17219
CA
1041C0700X
Clinical Social Worker
Primary
LCS17219
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCS17219
LICENSE NUMBER
CA
Enumeration date
05/06/2006
Last updated
02/01/2012
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