Individual
NICOLE LEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 PEACHTREE PKWY, SUITE #112, CUMMING, GA 30041-7461
(678) 525-7818
Mailing address
600 PEACHTREE PKWY, SUITE #112, CUMMING, GA 30041-7461
(678) 525-7818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004396
GA
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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