Individual
NICOLE BERKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
200 MAINE ST, LAWRENCE, KS 66044-1368
(785) 843-9192
Mailing address
3113 W 29TH ST, LAWRENCE, KS 66047-3906
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12323
KS
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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