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Individual
MRS. NICOLE K. FOGEL
Active
Individual
MRS. NICOLE K. FOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007652
VA
1041C0700X
Clinical Social Worker
SW9816
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904007652
LCSW
VA
01
—
SW9816
LICENSE IN CLINICAL SOCIAL WORK (LCSW)
FL
Enumeration date
08/06/2007
Last updated
04/15/2024
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