Organization
NICOLE MANK, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MANK LCSW (OWNER)
(207) 242-8359
Entity
Organization
Contact information
Practice address
126 WESTERN AVE # 1026, AUGUSTA, ME 04330-7249
(207) 242-8359
(207) 560-9093
Mailing address
126 WESTERN AVE # 1026, AUGUSTA, ME 04330-7249
(207) 242-8359
(207) 560-9093
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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