Individual
MRS. NICOLE ELISE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4010 DUPONT CIR, SUITE 582, LOUISVILLE, KY 40207-4812
(502) 899-5411
Mailing address
1436 S SHELBY ST, LOUISVILLE, KY 40217-1107
(502) 635-4528
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFTMFA00223143
KY
Other
Enumeration date
03/16/2016
Last updated
04/21/2017
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