Individual
MS. NICOLE ELISE WORTHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA, PRS
Contact information
Practice address
14401 KINGSFORD AVE, CLEVELAND, OH 44128-1071
(216) 971-2253
Mailing address
14401 KINGSFORD AVE, CLEVELAND, OH 44128-1071
(216) 971-2253
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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