Individual
MRS. NICOLE RAE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1702 N STATE ST, IOLA, KS 66749-1634
(620) 365-3428
(620) 365-7482
Mailing address
PO BOX 347, IOLA, KS 66749-0347
(620) 365-3428
(620) 365-7482
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7181
KS
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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