Individual
NICOLE DUFEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3150 GERSHWIN DR, GREEN BAY, WI 54311-4328
(203) 914-7009
Mailing address
E7475 RAWHIDE RD, NEW LONDON, WI 54961-9025
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
11989-123
WI
Other
Enumeration date
09/14/2022
Last updated
03/12/2025
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