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Individual
NICOLE HENRY
Active
Individual
NICOLE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0953371
NY
1041C0700X
Clinical Social Worker
Primary
122511
MA
1041C0700X
Clinical Social Worker
ISW10491
FL
1041C0700X
Clinical Social Worker
MC15530
ME
Other
Enumeration date
11/29/2016
Last updated
05/29/2020
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