Individual
NICOLE A SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 W 18TH ST, LA PORTE, IN 46350-6830
(218) 342-2415
(219) 370-6088
Mailing address
512 ANDREW AVE # 120, LA PORTE, IN 46350-4633
(219) 342-2415
(219) 370-6088
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008565A
IN
Other
Enumeration date
01/29/2020
Last updated
04/26/2026
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