Individual
MRS. NICOLE KERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
455 MEADOW DRIVE, NORTH TONAWANDA, NY 14120
(716) 807-3831
Mailing address
455 MEADOW DRIVE, NORTH TONAWANDA, NY 14120
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
066309
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01377162
—
NY
Enumeration date
04/25/2012
Last updated
04/25/2012
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