Individual
MS. GABRIELLE ELIZABETH NICOLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2625 LEE BLVD, SUITE 100, LEHIGH ACRES, FL 33971-1569
(239) 369-3333
(239) 369-4837
Mailing address
PO BOX 3445, NORTH FT MYERS, FL 33918-3445
(239) 369-3333
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA10826
FL
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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