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Individual

NICOLE RENEE CARUSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4608 NICKLAUS DR APT 208, CHAMPAIGN, IL 61822-1480
(217) 502-4909
Mailing address
4608 NICKLAUS DR APT 208, CHAMPAIGN, IL 61822-1480
(217) 502-4909

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/04/2024
Last updated
05/18/2026
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