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Individual

NICOLE SOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3355 LENOX RD NE, ATLANTA, GA 30326-1394
(775) 429-7476
Mailing address
6432 IVEY CHASE SE, MABLETON, GA 30126-4559
(516) 816-9676

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
117546-01
NY
104100000X
Social Worker
Primary
MSW011464
GA

Other

Enumeration date
04/24/2025
Last updated
04/24/2025
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