Individual
NICOLE C ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
595 W EDGE TRL APT O, AVON, IN 46123-6841
(317) 981-0069
Mailing address
595 W EDGE TRL APT O, AVON, IN 46123-6841
(317) 981-0069
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
CNA1001520
IN
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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