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Individual

NICOLE GRIPPO-LEODIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3041 DREWSKY LN UNIT 304, FORT MILL, SC 29715-0108
(908) 666-7170
Mailing address
3041 DREWSKY LN UNIT 304, FORT MILL, SC 29715-0108
(908) 666-7170

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
07/18/2016
Last updated
03/17/2018
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