Individual
NICOLE POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3264 N FRATNEY ST, MILWAUKEE, WI 53212-2241
(414) 322-3284
Mailing address
3264 N FRATNEY ST, MILWAUKEE, WI 53212-2241
(414) 322-3284
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
9713-123
WI
1041C0700X
Clinical Social Worker
C017043
NC
Other
Enumeration date
01/08/2015
Last updated
03/17/2025
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