Individual
NICOLE ELISABETH KOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
70 SUNBURY CT, RICHMOND HILL, GA 31324-9621
(912) 463-1542
Mailing address
70 SUNBURY CT, RICHMOND HILL, GA 31324-9621
(912) 463-1542
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007332
GA
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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