Individual
MRS. NICOLE LYNN RADCLIFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 OSAGE ST, SIDNEY, NE 69162-1875
(308) 254-0959
Mailing address
2052 TRAIL RD, SIDNEY, NE 69162-2395
(308) 249-5741
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12004828
NE
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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