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Individual
DR. NICOLE WOLLER
Active
Individual
DR. NICOLE WOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LCSW
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
SW8553
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11758162
CAQH
FL
05
—
767023100
—
FL
Enumeration date
02/11/2007
Last updated
04/22/2020
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