Individual
NICOLE LEE MCNEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
44 MASON RD, BROOKLINE, NH 03033
(617) 610-3402
Mailing address
44 MASON RD, BROOKLINE, NH 03033
(617) 610-3402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
117170
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110113739A
—
MA
Enumeration date
09/16/2009
Last updated
04/20/2021
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