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Individual
NICOLE DIANE SHIFFLETT
Active
Individual
NICOLE DIANE SHIFFLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2994
HI
1041C0700X
Clinical Social Worker
Primary
5169
HI
1041C0700X
Clinical Social Worker
CSW.09930877
CO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/13/2022
Last updated
04/15/2026
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