Individual
TAMMY NICOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2748 S FERN CREEK AVE, ORLANDO, FL 32806-5539
(352) 973-9320
Mailing address
604 GEORGETOWN DR APT C, CASSELBERRY, FL 32707-6133
(352) 973-9320
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/23/2022
Last updated
07/23/2022
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