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Individual
MRS. NICOLE CLEM
Active
Individual
MRS. NICOLE CLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.2001258-TRNE
OH
1041C0700X
Clinical Social Worker
Primary
I.2405750
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2433503
—
OH
Enumeration date
01/23/2020
Last updated
08/20/2024
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