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Individual

NICOLE L MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
1030 OAK RIDGE DR, EAU CLAIRE, WI 54701-4564
(715) 833-7111
(715) 833-0454
Mailing address
1030 OAK RIDGE DR, EAU CLAIRE, WI 54701-4564
(715) 833-7111
(715) 833-0454

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3652-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41005300
WI
Enumeration date
07/24/2006
Last updated
07/08/2007
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