Individual
NICOLE R MICHAELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 LANDMARK DR, STE380/CPD, BELLEVUE, KY 41073-1393
(859) 392-3829
(859) 392-3966
Mailing address
103 LANDMARK DR, STE380/CPD, BELLEVUE, KY 41073-1393
(859) 392-3829
(859) 392-3966
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I 0009791
OH
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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