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Individual

NICOLE C. CRUZ

Active
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Individual

NICOLE C. CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071008425
IL
103G00000X
Clinical Neuropsychologist
Primary
2009026797
MO
103TC0700X
Clinical Psychologist
071008425
IL

Other

Enumeration date
09/25/2009
Last updated
07/27/2026
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