Individual
NICOLE DALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
313 S 16TH ST, PHILADELPHIA, PA 19102-4908
(215) 732-8244
Mailing address
4619 CHESTER AVE APT A406, PHILADELPHIA, PA 19143-3680
(772) 678-1776
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW142989
PA
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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