Individual
NICOLE SEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
250 MAIN ST STE 420, LAFAYETTE, IN 47901-1285
(765) 300-4234
Mailing address
1169 N DIAMOND POINT CT, MONTICELLO, IN 47960
(574) 270-1114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009930A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34009930A
LCSW
IN
Enumeration date
04/29/2022
Last updated
09/23/2023
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