Individual
NICOLE EMILY CARDELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 GERSHOM AVE, LOWELL, MA 01854-2802
(978) 770-5173
(978) 677-6129
Mailing address
20 WILLIAMS ST, LOWELL, MA 01852-2209
(978) 677-6087
(978) 677-6129
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MA
Other
Enumeration date
06/22/2021
Last updated
07/02/2021
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