Individual
MS. NICOLE MARIE PUBLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
420 COWPATH RD, SOUDERTON, PA 18964-2036
(267) 203-1500
(215) 703-9811
Mailing address
420 COWPATH RD, SOUDERTON, PA 18964-2036
(267) 203-1500
(215) 703-9811
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW135845
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW135845
PA BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
Enumeration date
04/02/2019
Last updated
04/02/2019
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