Individual
NICOLE A CLECKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4025 CHESTNUT ST, FIRST FL., PHILADELPHIA, PA 19104-3054
(215) 382-6680
Mailing address
1011 E WASHINGTON LN, PHILADELPHIA, PA 19138-1027
(215) 382-6680
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000412
PA
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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