Individual
MRS. NICOLE LAVEE WOOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2927 RUBY CT, BANDON, OR 97411-8864
(714) 860-9433
Mailing address
2927 RUBY CT, BANDON, OR 97411-8864
(714) 860-9433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/23/2025
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