Individual
NICOLE ADELA MIELNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
5200 PARK RD STE 102C, CHARLOTTE, NC 28209-3650
(704) 433-5267
Mailing address
4602 WATERFORD KNOLL DR APT 1527, CHARLOTTE, NC 28226-8650
(631) 255-3819
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P012382
NC
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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