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Individual
NICOLE ALEXIS INSLEE
Active
Individual
NICOLE ALEXIS INSLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW134498
PA
1041C0700X
Clinical Social Worker
Primary
CW024478
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104046270
—
PA
01
—
CW024478
STATE LICENSE- CLINICAL SOCIAL WORKER
PA
01
—
SW134498
STATE LICENSE - SOCIAL WORKER
PA
Enumeration date
06/09/2022
Last updated
05/28/2024
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