Individual
NICOLE RENEE CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 W OTTAWA RD, PAXTON, IL 60957-4090
(217) 379-4302
(217) 817-0379
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
08/07/2025
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