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Individual
NICOLE BOLDUC
Active
Individual
NICOLE BOLDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW-S, LICDC,
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161857
OH
101YM0800X
Mental Health Counselor
2394
NH
101YM0800X
Mental Health Counselor
34008910A
IN
104100000X
Social Worker
S.1502497
OH
1041C0700X
Clinical Social Worker
Primary
I.1901415
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/26/2016
Last updated
12/26/2024
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