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Individual
MRS. NICOLE RENEE DEISHER
Active
Individual
MRS. NICOLE RENEE DEISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1500558
OH
171M00000X
Case Manager/Care Coordinator
—
—
2251S0007X
Sports Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211400
—
OH
Enumeration date
06/08/2015
Last updated
08/28/2025
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