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Individual

MR. ROBERT NOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
816 PENNSYLVANIA AVE, SAINT CLOUD, FL 34769-3371
(407) 492-7885
Mailing address
816 PENNSYLVANIA AVE, SAINT CLOUD, FL 34769-3371
(321) 805-4426

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/14/2016
Last updated
07/14/2016
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