Individual
NICOLE ANNE KIRSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2904 SCARBOROUGH ST, BLOOMINGTON, IL 61705-6543
(630) 939-2022
Mailing address
2904 SCARBOROUGH ST, BLOOMINGTON, IL 61705-6543
(630) 939-2022
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149.017916
IL
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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