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Individual
NICKOLE M GRANT
Active
Individual
NICKOLE M GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW6338
FL
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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