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Individual

NICOLE MARIE MARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1601 CONRAD HILTON BLVD, CISCO, TX 76437-4346
(254) 247-7328
Mailing address
1601 CONRAD HILTON BLVD, CISCO, TX 76437-4346
(254) 247-7328

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
69418
TX

Other

Enumeration date
05/11/2023
Last updated
05/11/2023
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