Individual
NICOLE DICERBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
411 W HENLEY ST, OLEAN, NY 14760-3541
(716) 376-8408
Mailing address
2851 W RIVER RD, OLEAN, NY 14760-9622
(607) 316-0936
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
083766
NY
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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