Individual
NICOLE RENEE ST. PIERRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3458 SUNNYSIDE AVE, PHILADELPHIA, PA 19129-1433
(973) 479-0566
Mailing address
3458 SUNNYSIDE AVE, PHILADELPHIA, PA 19129-1433
(973) 479-0566
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW135494
PA
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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