Organization
NICOLE NOACK LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE NOACK (OWNER)
(203) 208-8644
Entity
Organization
Contact information
Practice address
4 HAYES DRIVE, 2ND FL. RT., MILFORD, CT 06460
(203) 208-8644
Mailing address
4 HAYES DRIVE, 2ND FL. RT., MILFORD, CT 06460
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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