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Individual
MS. NICOLE MARINO
Active
Individual
MS. NICOLE MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006000
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841353331
—
NC
05
—
SW1202
—
SC
Enumeration date
12/18/2006
Last updated
11/11/2016
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